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PUBLIC DOCUMENT .... .... No. 21. 



FOKTY-EIGHTH ANNUAL EEPOET 



THE TRUSTEES 



Northampton Insane Hospital, 



Year ending September 30, 1903. 




BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1904. 



BLIC DOCUMENT . . . . 



. . . No. 21 



FOETY-EIGHTH ANNUAL EEPOET 



THE TRUSTEES 



Northampton Insane Hospital, 



Year ending September 30, 1903 /<^ / 




BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1904. 



* 






<^-» 




Approved by 
The State Board of Publication. 



-11 



CONTEXTS. 



List of Officers, 5 

Report of Trustees, 7 

Report of Superintendent, 11 

Acknowledgments, 17 

Dietary, 19 

Articles made in Sewing Room 22 

Upholstery done in the Year, 23 

Amount of Preserving done in the Kitchen Department, 23 

Farm Products, 24 

Officers and Employees — Time employed, 26 

List of Persons employed in the Hospital, 29 

Report of the Treasurer, 31 

Inventory of Stock and Supplies, 37 

Statistics, 41 



OFFICERS 



NORTHAMPTON INSANE HOSPITAL 



TRUSTEES. 



SARAH A. WOODWORTH, 
CAROLINE A. YALE, . 
F. W. CHAPIN, M.D., . 
WILLIAM D. MacINNES, . 
HENRY P. FIELD, . 
CHARLES S. SHATTUCK, 
ALVAN BARRUS, 



Chicopee. 

Northampton. 

Springfield. 

PlTTSFIELD. 

northa3ipton. 

Hatfield. 

Goshen. 



RESIDENT OFFICERS. 

JOHN A. HOUSTON, M.D., Superintendent. 

HARRIET M. WILEY, M.D., Assistant Physician. 

CHARLES H. DEAN, M.D., Assistant Physician. 

ARTHUR B. MOULTON, M.D., Assistant Physician. 

LEWIS F. BABBITT, Clerk. 

IDA A. PORTER, Matron. 

JOHN MERCIER Farmer. 

GEORGE T. GILBERT, Engineer. 

TREASURER. 

LEWIS F. BABBITT, Northampton. 

Office at the Hospital. 



Ccrmm0nbxea:ltb of P^assatjjttstits. 



TEUSTEES' EEPORT. 



To His Excellency the Governor of the Commonwealth and the Honorable 

Council. 

The trustees of the Northampton Insane Hospital respect- 
fully present the forty-eighth annual report of the business 
affairs of the hospital, referring to the reports of the superin- 
tendent and the treasurer for a more detailed account of affairs 
in their charge. 

The new building intended as an infirmary for women and 
a home for the nurses has been nearly completed. As the 
appropriation was too small to finish it, considerable of the 
expenditure for that purpose has been from our income, con- 
sequently progress on the work has been slow. It is now, 
however, occupied by almost the full number of patients and 
nurses originally planned for. In locating this building it was 
found that it would be four stories high at the end farthest from 
the old hospital, owing to the conformation of the ground on 
which it stands. The plans were accordingly changed to 
include a ward on the ground floor in addition to the wards 
originally planned for, large enough to accommodate 25 
patients, and in erecting the building the walls were left in 
such shape that this ward could be finished at little expense. 
The estimated cost of finishing; this ward and of furnishing it 
for occupancy is $3,500. 

A new cow stable has been erected, to accommodate 70 milch 
cows in well-lighted and ventilated quarters, and as many 
steers, oxen and voung stock on the floor below. A large 
addition to the barn has been made, containing milk room, 
wash room, silos, etc., and this has been equipped with a ten 



8 NORTHAMPTON INSANE HOSPITAL. [Oct. 

horse-power motor and ensilage cutter. There are still some 
alterations to be made in the old barn, which will increase its 
storage capacity and facilitate the distribution of hay and grain 
in feeding the cattle. 

The new boiler mentioned in our last report has been put in 
place, and about twenty feet has been added to the height of 
the boiler house chimney, to give more draught required by the 
new boiler. 

An electric motor was placed in the laundry, thus doing 
away with a long belt and a long piece of shafting, and enabling 
either engine to operate all the machinery in use about the 
institution. 

The Legislature of 1903 made appropriations of $10,000 for 
making changes in our heating, ventilating and hot-water sys- 
tems, which changes are now in progress ; and of $65,000 to 
erect a building to be used as an infirmary for men, to accom- 
modate 100 persons. Plans for this building had been outlined 
and estimates of its cost had been obtained, from which it 
appeared doubtful if it could be built for less than $70,000. 
The trustees so reported to the legislative committee before the 
appropriation was made. We have hesitated to undertake to 
build it for $65,000, but the need for it is so urgent that we 
have decided to modify the plans so as to erect a building 
within the amount appropriated, if possible. None of the 
appropriation was for furnishings, therefore we shall ask the 
next Legislature for $6,500 to be used for that purpose. 

By referring to the superintendent's report, it may be seen 
that the number of patients the hospital is caring for is largely 
in excess of our accommodations, and that the overcrowding 
taxes the resources of the hospital to the utmost. This con- 
dition is likely to become worse, in spite of the increased 
accommodations afforded by the new building for women just 
completed and the one for men about to be built. The trustees 
feel that, in justice to the patients now here and to those who 
are soon to come, it is their duty to ask for means to erect 
other buildings ; but they refrain from so doing, hoping that 
the new State Colony for the Insane will soon be able to take 
some of our patients. 

The asphalt sidewalk from the hospital to the gate is in need 



1903.] PUBLIC DOCUMENT — No. 21. 9 

of extensive repairs, and considerable new walk is required ; 
the estimated cost of this is $1,000. 

We feel that there is need of the telephones, electric clocks 
and night watchman's clocks which we asked for last year, and 
we renew our request for an appropriation to install them. 
Inasmuch as more stations will be needed than were required 
last year, on account of the new buildings, we shall ask for 
$2,500 for this purpose. 

A summary of the appropriations we shall ask for is as fol- 
lows : to complete and furnish a ward for 25 women in the 
infirmary building, $3,500 ; to furnish the infirmary for men, 
$6,500; for sidewalks, $1,000; for telephone, night watch- 
man's clock and electric clock systems, $2,500. 

The treasurer's report shows the hospital to be in a satis- 
factory condition financially. The high prices of supplies and 
the increase in the number of employees has made the cost of 
maintenance larger than for many years. The past year the 
per capita cost was $3.62 per week; but this includes con- 
siderable amounts that should not properly be charged to main- 
tenance, such, for instance, as the cost of the new boiler and 
addition to the chimney, which were of the nature of new 
equipment, and also the cost of the beds, bedding, furniture, 
etc., required by every additional patient for many months 
past. 

We are much pleased to record a gift of about $500, by 
legacy, from a former patient, Mr. Fred B. Kelley of Green- 
field, the income of which is to be used for the purchase of 
tobacco of the best quality and other luxuries not provided by 
the hospital, to be used for the sole benefit of patients in the 
hospital. Mr. Kelley took great interest in the hospital, and 
often said he should remember it in his will, and Ave shall be 
pleased to carry out the provisions of his will. 

There is but one change in the medical staff to record, that 
of the first assistant physician, whose services terminated June 
18, 1903. No successor has yet been appointed to the vacancy. 

It is with sorrow that we record the death of a valued mem- 
ber of our Board, Mr. Morgan, who died Feb. 1, 1903. The 
following resolutions express our appreciation of him as an 
associate : — 



10 NORTHAMPTON INSANE HOSPITAL. [Oct. 

Whereas, Death has removed from us Elisha Morgan, for many 
years B valuable and faithful member of the Board of Trustees of the 
Northampton Insane Hospital, we, his associates, desire to express 
and record our appreciation of his services to the hospital ; therefore, 

Resolved, That by the death of Mr. Morgan this hospital and its 
Board of Trustees has sustained a most serious loss. During all the 
years he was a member of this Board he freely and cheerfully gave to 
its affairs bis time, experience and business ability. He was constant 
in his attendance at the meetings of the Board, eager to advance the 
prosperity of the hospital and to increase its facilities for doing good, 
and always solicitous for the welfare of its inmates. It is not too 
much to say that Mr. Morgan continually had the interests of this 
institution before him, and that a great measure of its success is due 
to his constant thought and untiring effort. He was a man of un- 
failing courtesy, a most gracious and winning associate, and the 
members of this Board feel in his death a deep sense of personal 
bereavement. 

Mr. Charles S. Shattuck of Hatfield was appointed to till the 
vacancy. 

SARAH A. WOODWORTH. 
CAROLINE A. YALE. 
F. W. CHAPIN, M.D. 
WILLIAM D. MacINNES. 
HENRY P. FIELD. 
CHARLES S. SHATTUCK. 
ALYAN BARRUS. 



1903.] PUBLIC DOCUMENT — No. 21. 11 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Northampton Insane Hospital. 

The superintendent respectfully submits the following report 
for the year ending Sept. 30, 1903. 

On Oct. 1, 1902, there were 659 patients in the hospital; 
257 cases were committed during the year and 1 was returned 
from elopement, thus making 917 cases cared for, — 77 more 
than last year; 225 cases were discharged, leaving 692 at the 
end of the official year. The daily average number was 657, 
which is 21 in excess of the daily average of last year, — an 
increase of 111 in five years. 

Of those admitted, 197 had never been in any hospital for 
the insane, 51 had been here before and 9 had been in other 
hospitals. 

The birthplaces of 106 were in this State. One hundred 
and sixty-one were born in the United States. Thirty-seven 
per cent, were of foreign birth, and the fathers and mothers of 
67 per cent, were of foreign birth. Sixty-five per cent, of the 
admissions were from cities and large towns. 

The probable causes of insanity in the cases admitted, so far 
as could be learned from the patients and from their relatives 
and friends, were, principally : heredity, which was either an 
immediate or a predisposing cause in 68 cases ; intemperance, 
in 47 cases ; senility, in 37 cases ; gross brain lesion, cerebral 
hemorrhage, syphilis and epilepsy, in 23 cases ; and causes 
dating from infancy or childhood, in 22 cases. In 41 cases we 
could not assign the cause with certainty, but probably in 
many of these some of the causes above mentioned were 
operative. 

A majority of the patients admitted had an incurable form 
of mental disease. In 150 cases the disease had existed longer 
than a year. 



12 NORTHAMPTON INSANE HOSPITAL. [Oct. 

The discharges for the year numbered 153 ; of these, 39 
were discharged as recovered at the time of leaving the hospital, 
3() as much improved, 37 as improved and 39 as not improved. 
Seven patients eloped and 65 died. 

Of those who died, 50 per cent, were more than sixty years 
of age ; 7 were over eighty years of age. The average length 
of hospital residence was a little over four years. In all but 
7 cases the mental disease was of an incurable form. The 
greatest mortality was from paresis, 11 cases, with 9 from 
senility, 8 from cerebral hemorrhage and 6 from pulmonary 
tuberculosis. Fifteen of the deaths were of cases recently com- 
mitted, most of whom were in a dying condition when brought 
to the hospital. Some of these were brought here to die. It 
seems pitiful that an old man or woman with but two or three 
weeks at most to live cannot be tolerated at home for the few 
remaining weeks of life. 

There has been very little sickness of an acute nature this 
year. The decrease in the number of cases of malaria since 
1900 has been remarkable. There had been but few cases of 
the disease in the hospital for many years prior to 1900. In 
that year there were 38 cases. In 1901 there were 15 cases, 
in 1902 10 cases and last year only 2 cases. 

The medical work and the treatment of patients has been 
along the lines mentioned in our annual reports for several 
years. To build up physically and to furnish mental diversion 
by means of employment and amusement constitute the prin- 
cipal elements of treatment. 

As usual, patients have in large numbers assisted in the 
work of the different departments. I. regard work on the farm 
and grading and excavating as the best of all forms of employ- 
ment for the men, because it is so simple that a large number 
can be employed, and because, of course, they are kept in the 
open air. Convalescents are much benefited by work in the 
shops, because they are likely to take special interest in any- 
thing in the process of construction. 

For the entertainment and amusement of the patients fre- 
quent assemblies were held, averaging about three each week, 
which were attended by an average of 400 patients. There 
were frequent readings by some member of the staff, with 



1903.] PUBLIC DOCUMENT — Xo. 21. 13 

music by the choir ; and during the winter, from Thanksgiving 
till May, dances were held each week. The following enter- 
tainments were also given : October 6, Mr. and Mrs. Wheeler, 
musicale ; November 3, Mr. Bacon, musicale ; November 10, 
Mr. Taggart, songs and readings ; November 17, Mr. Lorrain, 
songs and reading ; December 6, Mr. Kendall, elocutionist ; 
December 22, Miss Keane, musicale ; December 25, Christmas 
tree; January 6, Mr. Prescott, ventriloquism; January 19, 
Misses Smith, Caldwell and Libby, reading, harp and whistling ; 
February 3, Mr. and Mrs. Eccles, songs and readings ; Feb- 
ruary 9, whist party; February 16, stereopticon lecture; Feb- 
ruary 24, Mr. Little, crayon artist; March 3, Northampton 
Vocal Quartette, with Miss Bailey ; March 10, Mr. Brignati, 
legerdemain; March 1(3, Dr. Moulton and nurses, concert; 
March 18, Mrs. Childs and Miss Lord, musicale; April 7, Mr. 
Thayer, phonograph entertainment ; May 25, Avhist party ; 
June 18, nurses and patients, play, "Maidens all Forlorn;" 
June 29, whist party ; July 8, picnic on the lawn ; September 
3, minstrel show, nurses and patients ; September 28, Mr. 
Prescott, ventriloquism ; September 30, whist party. Many 
patients attended the circus, agricultural fair and fireman's 
muster, and small parties went to Laurel Park and Mt. Tom. 
On each Sunday afternoon there was a religious service, con- 
ducted by one of the clergymen from Northampton or one of 
the neighboring towns. 

The training school has had a successful year. The nurses 
have shown much interest in the class work and in the service. 
Two of our graduates, Miss Bedell and Miss Read, are superin- 
tendent of nurses and assistant superintendent, respectively. 
In addition to the routine ward work and clinical instruction at 
the bedside, the different classes had 92 recitations and 44 lec- 
tures. Misses Jennie Hart, Annie Murray and Adella Cox 
were graduated and received their diplomas in June, and the 
following will be graduated in a few weeks : Mrs. Mary Cook, 
Misses Maud Amsden, Clara Mill, Mary Mill, Eliza Shaw and 
Fannie Thorndyke. 

There has been a great deal accomplished in the way of im- 
provements and repairs. The most important and extensive 
work was the erection of the infirmary building for women. 



14 NORTHAMPTON INSANE HOSPITAL. [Oct. 

Work on this building progressed slowly, because the amount 
appropriated by the Legislature was too small, and we had to 
finish it with our own resources, with our own force, assisted 
by patients. It is now occupied by 70 patients and 20 nurses. 
Removing the nurses from the old building will afford addi- 
tional room there for 12 patients. The wards are much 
relieved by the change, but they are still overcrowded ; 42 
beds at present occupy day spaces, and many rooms intended 
for one patient are occupied by two. 

The new boiler has been installed, and the chimney has had 
its top raised to one hundred and twenty feet in height. To 
do this latter the outside of the old top was first removed to 
the point Avhere it began to flare, leaving the shell standing. 
The work was done without interfering with the fires under the 
boilers, shields of wood being raised ahead of the work to pro- 
tect the masons. Patients helped in this work, making all the 
mortar used, and raising the bricks and mortar in buckets to 
the masons by means of rope and pulleys. 

Patients have done a great deal of grading and excavating 
about the new cow stable, and the roadway between the horse 
stable and cold storage is being relocated by them. They have 
also, under direction of attendants, excavated a space thirty- 
five by forty feet and fifteen feet deep near the boiler house 
and coal bunkers. This will afford room for the hot- water and 
feed- water heaters, and additional storage for coal. 

The season has not been a favorable one for the farm, 
especially for some of the garden crops, and the yield was 
somewhat below the average with most crops. The melon and 
onion crops were nearly total failures. There was, however, 
a large crop of hay, which would have been increased by about 
thirty tons more of second growth if the weather had been 
favorable for curing it. There was about half an average crop 
of potatoes. The } T ield of apples was 612 barrels, — about one- 
third the size of last year's crop ; 420 barrels of these were put 
in cold storage. Since there is practically no loss from decay, 
the yield of apples and potatoes will be equivalent to some of 
the larger crops of previous years. 

The cold storage has proven to be very successful ; every- 
thing thus far put into it has kept well. We were able to keep 



1903.] 



PUBLIC DOCUMENT — No. 21, 



15 



the large crop of apples of last year without loss, so that they 
were distributed in large quantities daily till the middle of 
August, in as fine condition as when they were picked. But- 
ter, meat and eggs kept well. This year in April and May we 
put in 18,000 dozen eggs. 

A very important question, likely to require the attention 
of your Board this coming year, is how to care for our con- 
stantly increasing number of patients. During the period of 
twenty years from 1872 to 1892 the population of the hospital 
varied but little, as the following table shows. In fact, the 
average daily number supported in 1873-74, 469, was the same 
as in the year 1891-92. 



Years ending 


Number of 


Number of 
New Cases ad- 


Daiiy Average 
Number of 
Patients. 


Whole 
Number of 
Patients. 


Number of 


Number at 


September 30 


. Admissions. 


mitted (First 
Admission). 


Discharges. 


End of Year. 


1872, 


199 


168 


429 


619 


186 


433 


1873, 


181 


158 


437 


614 


181 


433 


1874, 


193 


155 


469 


626 


150 


476 


1875, 


153 


123 


475 


629 


150 


476 


1876, 


153 


126 


474 


629 


165 


464 


1877, 


139 


110 


476 


603 


128 


475 


1878, 


76 


55 


442 


551 


122 


429 


1879, 


106 


83 


437 


535 


93 


442 


1880, 


117 


97 


450 


559 


113 


446 


1881, 


123 


97 


452 


569 


106 


463 


1882, 


124 


102 


461 


587 


134 


459 


1883, 


142 


117 


467 


606 


137 


469 


1884, 


136 


95 


463 


605 


142 


463 


1885, 


136 


99 


476 


599 


123 


476 


1886, 


183 


136 


474 


659 


168 


491 


1887, 


148 


119 


479 


639 


170 


469 


1888, 


166 


122 


470 


635 


154 


481 


1889, 


155 


113 


469 


636 


190 


446 


1890, 


170 


134 


470 


616 


121 


495 


1891, 


141 


118 


457 


636 


183 


453 


1892, 


177 


140 


469 


630 


141 


489 


1893, 


169 


129 


480 


658 


178 


480 


1894, 


172 


136 


494 


652 


148 


504 


1895, 


201 


169 


526 


705 


159 


546 


1896, 


209 


168 


560 


755 


196 


559 


1897, 


182 


147 


544 


741 


218 


522 


1898, 


213 


158 


546 


735 


172 


563 


1899, 


220 


176 


563 


783 


193 


590 


1900, 


243 


193 


576 


833 


242 


590 


1901, 


206 


164 


603 


797 


178 


618 


1902, 


219 


182 


636 


840 


181 


659 


1903, 


257 


206 


657 


917 


225 


692 



16 NORTHAMPTON INSAXK HOSPITAL. [Oct. 

Since L892, however, there has been a steady increase in our 

dairy average, till now we are caring for nearly 200 more than 
then. This increase comes from two sources. First, from the 
number of patients of each year's admissions who do not recover 
or gel well enough to go home, and consequently remain here 
to swell the numbers remaining of each previous year's admis- 
sions. From 1870 to 1890 this increase from the natural move- 
ment of our hospital population was offset by the frequent 
transfer of patients to other State hospitals; but since 1892 
there have been few transfers, consequently the relief to this 
hospital in this manner has been very slight. The second 
source of increase in our population is the large number of 
admissions, as shown in the above table. The district which 
this hospital serves has a population of about 72,000 more than 
it had ten years ago, which accounts in part for the increase in 
admissions, but the admissions number more in proportion to 
the population than they did ten years ago. I can only explain 
this growth by the tendency which we have noticed in the last 
few years to send to the hospital a class of patients who would 
have been kept at home not many years ago. However ex- 
plained, the fact remains that more patients are coming than 
we can care for, and this condition is likely to get worse rather 
than better after next January, when the State assumes care of 
all who are now town patients. 

The new infirmary for women has only partially relieved the 
wards for women from their overcrowded condition, and in the 
men's side there are already patients enough in excess of 
accommodations, sleeping on temporary beds in corridors and 
day spaces, to fill a building the size of the one we are about 
to erect. 

If the State Colony for the Insane cannot relieve us soon, we 
shall have to make additional provision for patients of both 
sexes, either here or in a colony established as a part of this 
hospital, unless it should seem wise to establish a branch insti- 
tution in one of the neiohborino; counties, as suo-o-ested in our 
report of last year. With the completion of the proposed 
infirmary for men we probably shall have reached the limits of 
our capacity to care for patients with our present heating, light- 
ing and laundry equipment, and to increase our facilities in 



1903.] PUBLIC DOCUMENT — No. 21. 17 

these departments will require their removal from their present 
locations at great expense. In my opinion, it will not be 
advisable to add to the present hospital group, except possibly 
to build a small extension to the third halls on the wing for 
women, to be used as a dormitory for the women now sleeping 
on temporary beds in the day spaces of the upper, middle and 
lower third halls. 

The affairs of the hospital have progressed quietly and 
smoothly. The degree of success attained in the operation of 
any institution depends largely upon the efficiency and faith- 
fulness of the subordinate officers and employees, and I am 
pleased to express my appreciation of the co-operation of nearly 
every one employed here. 

With an increase in the number of patients there is a cor- 
responding increase in the number of employees. Our force 
has increased in ten years from an average of about 85 to an 
average of 135. The work is unattractive to some, and some 
are found to be unfit for the work; consequently, there are 
many changes, and the larger the force of employees the more 
changes there are. Still, at the end of the year half of our 
employees had been here longer than one year; 10 had been 
here from one to two years, 22 from two to five years, 11 from 
^ve to ten years, 7 from ten to twenty years, 4 from twenty to 
thirty years and 5 from thirty to thirty-six years. 

Many of the friends of the hospital have given books, maga- 
zines, fruit and other articles for the benefit of the patients, 
which have been thoroughly appreciated. We have to thank 
for these gifts the following : Miss Julia B. Smith of Sunder- 
land, articles for the Christmas tree ; Miss M. A. Biggins of 
Springfield, Christmas packages for patients ; Mrs. J. L. 
Egbert of Springfield, ornaments for the Christmas tree ; Mrs. 
E. B. Dunn of Worcester, a ping pong set; Mrs. Putnam of 
Northampton, cards, magazines and papers ; Miss Eastman of 
South Hadley, confectionery andpictures ; Miss Foot of Spring- 
field, confectionery; Mrs. W. T. Parker of Springfield, money 
for fruit ; Dr. Crosier, money for fruit ; Miss Jessie Orr of 
Adams, fruit ; Mrs. Shurtleff of Springfield, a music box ; Mr. 
Kellogg of Amherst, magazines ; Mrs. Knowlton of Athol, 
magazines; Miss Gorham of Northampton, "Harper's Maga- 



18 NORTHAMPTON ENSANE HOSPITAL. [Oct. 

zinc:"* Mrs, Ganong of Northampton, "Ladies' Home Journal ;" 
Miss Austin of Peterborq, X. H., "Harper's Weekly" and 
papers and magazines; Miss Kingsley of Northampton, "The 
Outlook:"* Miss Butler of Northampton, fancy articles and 
materials for working ; Mr. S. E. Bridgman, papers and maga- 
zines : Mr. Frank B. Sanborn of Concord, "Memoirs of Pliny 
Karlc ; " the " Christian Register," " Our Dumb Animals" and 
u Berk-hire County Eagle ** have been regularly received. 

JOHN A. HOUSTON. 



1903.] PUBLIC DOCUMENT — No. 21. 19 



DIETAKY OF THE NORTHAMPTON 
INSANE HOSPITAL. 



[There are two bills of fare, the first of which is supplied to the tables of about three 
hundred persons, and the second to those of somewhat over three hundred. In addition 
to these, about 140 quarts of egg and milk are taken through the wards between meals 
and at bed time, and distributed to the old, the feeble and the convalescent classes.] 



BILL OF FARE No. 1. 
Breakfast. 

Monday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes, warm 

rolls (" biscuit"), bread and butter. 
Tuesday. — Tea, coffee, oatmeal, fried tripe,* potatoes, warm rolls, bread 

and butter. 
Wednesday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes and 

warm brown (rye and Indian) bread. 
Thursday. — Tea, coffee, oatmeal, broiled beefsteak, potatoes, warm rolls, 

bread and butter. 
Friday. — Tea, coffee, oatmeal, fried tripe,* potatoes, warm rolls, bread 

and butter. 
Saturday. — Tea, coffee, oatmeal, either fried fish-balls or liver, meat hash, 

hot com. cake, bread and butter. 
Sunday. — Tea, coffee, oatmeal, eggs, potatoes, warm rolls, bread and butter 

and fried Indian corn pudding. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable,! bread and butter, 

boiled rice with syrup or sugar. 
Tuesday. — Vegetable soup, roast or stewed veal,J potatoes and one other 

vegetable,! bread and butter and baked Indian pudding. 
Wednesday. — Either fried or baked fresh fish or boiled mutton, potatoes 

and one other vegetable,! bread and butter and berry or apple pudding, 

with sauce. § 
Thursday. — Vegetable soup, corned beef, potatoes and one other vegetable,! 

bread and butter and boiled suet pudding, with syrup. 

* Tripe is replaced in winter by sausages, and in spring by fried ham and eggs, except 
in the season of shad, when that fish is given once each week instead of ham and eggs 
and once instead of beefsteak. 

t At least three vegetables during the summer. 

X Substituted in winter by fresh pork ribs, roasted. 

$ In spring, maple syrup is used as sauce for puddings. 



20 NORTHAMPTON INSANE HOSPITAL. [Oct. 

Friday — Either boiled or roasted mutton* or stewed or roasted veal, 
potatoes and one other vegetable,! bread and butter, and tapioca pud- 
ding or raisin pudding of either rice, bread or cracker. 

Saturday. — Baked beans, corned beef, potatoes and one other vegetable,! 
pickles, bread and butter, and baked bread pudding. 

Sunday. — Stewed mutton, potatoes, warmed baked beans, pickles, bread 
and butter, and pies, the kind varying with the season. 

Supper. 

Monday. — Tea and bread, warm corn cake and butter, hard gingerbread 
and a relish.J 

Tuesday. — Tea, white bread, graham bread and butter, soft gingerbread 
and a relish in the warm season, substituted by buckwheat cakes in the 
cold season. 

Wednesday. — Tea, bread and butter, pie (the kind varying with the season) 
and ginger snaps and a relish. 

Thursday. — Tea, bread and butter, cookies and cheese. 

Friday. — Tea, bread and butter, cake (the kind varying) and a relish. 

Saturday — Tea, bread and butter, doughnuts and cheese. 

Sunday. — Tea, bread and butter, cookies and ginger snaps and blanc- 
mange or corn starch. 

Extra. — In the winter and spring months hulled corn at supper, once in 
two weeks, on Saturdays. 



BILL OF FARE No. 2. 
Breakfast. 

Monday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 
Tuesday. — Coffee, oatmeal, cold roast beef, potatoes, and bread and butter. 
Wednesday. — Coffee, oatmeal, meat stew or boiled eggs, potatoes, and 

warm rye and Indian corn brown bread and butter. 
Thursday — Coffee, oatmeal, picked codfish cooked in milk, potatoes, and 

bread and butter. 
Friday. —Coffee, oatmeal, cold corned beef or meat stew, potatoes, and 

bread and butter. 
Saturday — Coffee, oatmeal, hash, either of meat or fish, and bread and 

butter. 
Sunday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable,! boiled hominy 
with molasses and bread. 

* Substituted by stewed oysters in winter and spring, with some kind of roasted meat 
for those who prefer it. 

t At least three vegetables during the summer. 

t This term, used for the want of a better, includes dried beef, berries, baked apples, 
apple sauce and canned fruits, all of which are supplied, and each according to the 



1903.] PUBLIC DOCUMENT — No. 21. 21 

Tuesday. — Vegetable soup, potatoes and one other vegetable,* baked 

Indian pudding f ana " bread. 
Wednesday. — Boiled fresh tish with drawn-butter sauce, potatoes and one 

other vegetable,* boiled hasty pudding with molasses and bread. 
Thursday. — Vegetable soup, potatoes, cabbage or some other vegetable,* 

boiled rice with molasses % and bread. 
Friday. — Boiled codfish with drawn-butter sauce, potatoes, beets or some 

other vegetable, boiled hasty pudding with molasses and bread. 
Saturday. — Hot baked beans, potatoes, baked Indian or bread pudding, 

pickles and bread. 
Sunday. — Cold corned beef, potatoes, pies (the kind varying with the 

season) and bread. 

Supper. 
Monday. — Tea, bread and butter, and hard gingerbread. 
Tuesday. — Tea, bread and butter, and soft gingerbread. 
Wednesday. — Tea, bread and butter, cake or ginger snaps, and some kind 

of relish. 
Thursday. — Tea, bread and butter, and cookies.^ 
Friday. — Tea, bread and butter, and soft gingerbread. 
Saturday. — Tea, bread and butter, cake or ginger snaps, sauce. 
Sunday. — Tea, bread and butter, and cookies. 

Extras. 

In the winter and spring months, hulled corn at supper on Saturdays. 

In August and September these tables are furnished at supper with 
either berries, tomatoes or baked apples, as many as five times a week. 

In eight halls, sauce of either fresh or dried apples is furnished four 
times a week for the rest of the year. 

Extras for the Whole Household. 

All persons have roasted turkey at dinner on Thanksgiving Day and on 
Christmas, with vegetables, celery, cranberry sauce, pudding, pie and 
cider. 

From four to five bushels of green sweet corn in the ear is consumed in 
its season, daily, with the exception of Sunday. 

Strawberries, tomatoes, cucumbers and melons are furnished in liberal 
quantities in their season. 

In the spring, cowslips and dandelions are largely used as greens, and 
horse-radish as a condiment. 

During eight months of the year, apples are distributed, daily, among 
the patients. 

Beef tea, chicken broth, mutton broth, scalded milk, arrow-root gruel, 
oatmeal gruel, milk punch, cracked wheat, oatmeal porridge, dry toast, 
milk toast, toast with dropped egg and boiled eggs, for invalids and all 
who are not able to take the regular fare. 

* At least three vegetables in the summer. 

t All baked puddings for the whole household are made with milk. 

X Maple syrup is furnished, in place of molasses, three or four times in the spring. 



22 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



ARTICLES MADE EN SEWING ROOM. 



Aprons, 192 


Napkins, .... 258 


Caps, 






316 


Pillow ticks, 








132 


Chemises, 






192 


Pillow cases, 








1,290 


Curtains, 






108 


Shirt waists, 








17 


Carpeting, yards, 






22 


Skirts, . 








182 


Cloth bags, 






100 


Shirts, . 




« 




793 


Dresses, . 






353 


Sheets, . 








1,532 


Drawers, 






131 


Slings, . 








12 


Hats trimmed, 






46 


Towels, . 








1,788 


Holders, . 






425 


Table cloths, 








75 


Mattress ticks, 






188 


Tray cloths, 








19 


Meat cloth, 






. 1 


Under waists, 








15 


Night gowns, . 






136 


Articles repaii 


ed. 






32,315 



1903.] 



PUBLIC DOCUMENT — No. 21. 



23 



UPHOLSTERY DONE IX THE YEAE. 



Hair mattresses made, new material. 
Hair mattresses made, new ticks, 
Hair mattresses made, old material, 
Hair pillows made, new material, 
Hair pillows made, new ticks, 
Hair pillows made, old material, . 
Lounges upholstered, . 



90 
168 
187 

64 

40 
172 

12 



AMOUNT OF PRESERVING DONE IN 
KITCHEN DEPARTMENT. 



Preserves : — 
Cherries, quarts, . 
Gooseberries, quarts, 
Grapes, quarts, 
Grapes, spiced, quarts, 
Plums, quarts, 
Quince, quarts, 
Rhubarb, quarts, . 
Strawberries, quarts, 



6 

24 
30 
10 
60 

102 
25 

105 



Jelly :- 

Apple, glasses, 
Currant, glasses, . 
Grape, glasses, 

Canned fruit: — 
Rhubarb, quarts, . 

Pickles : — 
Chow-chow, gallons, 
Cucumber, gallons, 
Cauliflower, gallons, 
Catchup, tomato, quarts, 



36 

135 

16 

200 

14 

24 

2 

10 



24 



NORTHAMPTON INSANE HOSPITAL. 



[Oct. 



FARM PRODUCTS. 



Apples, crab, 1£ barrels 
Apples, 612 barrels, 
Asparagus, 34 bushels, 
Beef, 8,322 pounds, 
Beets, 68 bushels, . 
Beets, sugar, 700 bushels 
Beets, table, 180 bushels 
Beans, string, 108 

bushels, 
Beans, shell, 61 bushels, 
Beans, Lima, 103 bushels 
Broom corn, 800 pounds 
Broom corn seed, 60 

bushels, 
Currants, 484 quarts, 
Cabbage, 525 heads, 
Cauliflower, 169 heads, 
Carrots, 405 bushels, 
Cucumbers, 216 bushels 
Celery, 500 bunches, 
Calves sold, 37, 
Cider, 1 ,240 gallons, 
Corn, 307 bushels, . 
Corn, Indian , 100 

bushels, 
Chicken, 899 pounds, 
Citron, 1,000 pounds, 
Ensilage, 244 tons, . 
Eggs, 397 dozen, . 
Egg plant, 55, . 
Hay, first growth, 310 

tons, . 



$3 


00 


1,224 


00 


64 


00 


553 


61 


31 


50 


21 


00 


90 00 


54 


00 


30 


50 


103 00 


48 00 


27 


00 


29 06 


26 


25 


13 


52 


212 00 


108 


00 


41 


00 


157 


00 


124 00 


153 50 


60 00 


359 


80 


10 00 


854 


00 


141 


14 


2 


75 


4,652 00 



Hay, second growth, 72 

tons, 
Hay, bedding, 3 tons, 
Ice, 500 tons, . 
Lettuce, 179 bushels, 
Lumber, 38,720 feet, 
Milk, 57,130 gallons, 
Onions, 64£ bushels, 
Oats, green, 5 tons, . 
Pears, 8 bushels, 
Pease, 146 bushels, . 
Parsley, . 
Pigs, roast, 5, . 
Pigs sold, 95, . 
Pork, 22,146 pounds, 
Potatoes, 1,953 bushels 
Peppers, £ bushel, . 
Posts, 125, 
Quince, 4 bushels, . 
Radishes, 163 bushels, 
Raspberries, 36 quarts, 
Rhubarb, 43 bushels, 
Rye, 40 bushels, 
Rye straw, 3 tons, . 
Sage, 

Spinach, 28 bushels, 
Squash, winter, 10,900 

pounds, 
Squash, summer, 146 

bushels, 
Strawberries, 2,2 

quarts, . 



f866 24 

24 39 
500 00 
179 00 
619 52 

11,426 00 

48 37 

52 95 

8 00 

146 00 

5 00 

10 00 

275 05 

1,862 07 

1,185 60 

5a 

25 00 
5 00 
8 15 
7 20 

32 25 

28 00 

42 00 

5 00 

21 00 

218 00 

73 00 

341 85 



1903.] 



PUBLIC DOCUMENT — No. 21. 



25 



Swiss chard, 49 bushels, $24 50 

Tomatoes, 168* bushels, 126 38 
Turnips, English, 200 

bushels, ... 50 00 



Turnips, Swede, 545 

bushels, . . . $218 00 

Veal, 948 pounds, . . 112 16 

Wood, 49* cords, . . 173 50 

Miscellaneous articles, . 15 50 



Live stock belonging to the hospital 



Cows, 
Heifers, . 
Bulls, 
Yokes of oxen. 



73 

24 
3 
6 



Horses, 
Colts, 
Swine, 
Fowls, 



17 

5 

295 

275 



26 



NORTHAMPTON INSANE HOSPITAL. [Oct 



OFFICERS AXD EMPLOYEES. 

[Time employed, Sept. 30, 1903.] 



NAMES. 


Years. 


Months. 


Days. 


John A. Houston, M.D., superintendent, 


14 




7 


Harriet M. Wiley, M.D., assistant physician, 




3 


7 


29 


Charles H. Dean, M.D., assistant physician,. 




3 


4 


21 


Arthur B. Moulton, M.D., assistant physician, 




2 


7 


15 


Lewis F. Babbitt, clerk and treasurer,. 




11 


11 


18 


George T. Gilbert, engineer, . 




1 


- 


- 


John Mercier, farmer, 




36 


2 


- 


J da A. Porter, matron, 




5 


1 


29 


Robert H. Gallivan, superintendent of nurses, 




30 


5 


12 


Florence A. Bedell, superintendent of nurses, 




3 « 


9 


5 


Harriet 0. Read, assistant superintendent of nurse 


3, 


3 


5 


25 


Lucy A. Gilbert, clothes marker, . 




35 


8 


17 


George N. Drury, steward, . 






6 


- 


- 


Mattie G. Jones, secretary to superintendent 






10 


2 


11 


William J. Moore, assistant steward, . 




6 


11 


3 


Herbert W. Root, assistant steward, 




4 


4 


22 


Herbert E. Walker, baker, .... 




5 


6 


18 


Jay E Cook, assistant baker, 




4 


7 


- 


Susan E. Warren, seamstress, 






9 


6 


8 


Edith Metcalf, assistant seamstress, 






3 


3 


18 


Charles E Williams, laundry man, 




6 


- 


29 


Mary Riehl, laundress, .... 




! 1 


1 


24 


Jessie M. Onthank, laundress, 






- 


8 


21 


Fannie Cole, laundress, . 






- 


5 


25 


Nellie Crafts, laundress, 










1- 


14 


Samuel L. Williams, nurse, 








11 


3 


3 


Robert A. Pike, nurse, . 








4 


7 


8 


Fred D. Aldrich, nurse, . 










b 


1 


Charles Cox, nurse. 










2 


4 


22 


Collister F. Crafts, nurse, 










- 


10 


3 


Byron 0. Smith, nurse, . 










- 


5 


4 


Thomas C. Fickett, nurse, 










- 


4 


17 


Watson E. Smith, nurse, 










_ 


3 


27 


Roy A. MacMillan, nurse, 










- 


3 


23 


LeRoy McKusick, nurse, 










- 


3 


- 


Isaac R. Doane, nurse, . 










_ 


3 


11 


Roy Lester, nurse, . 










- 


3 


8 


William P. Brooks, nurse, 










- 


3 


5 


William Seavey, nurse, . 










- 




11 


James M. Lee, nurse, . 










- 




19 


James M. Campbell, nurse, 










- 




16 


Gordon Converse, nurse, 










- 




14 


Leslie B. Dickenson, nurse, 










- 




7 


John H. Duncan, nurse, 










- 




2 



1903.] 



PUBLIC DOCUMENT — Xo. 21. 



27 



NAMES. 


Years. 


Months. 


Days. 


Clarence Crosby, nurse, 




1 


1 


Herbert M. O'Leary, nurse, 












- 


- 


17 


James Ryan, nurse, 












- 


- 


17 


Lemuel B. Wallace, nurse, 












_ 


_ 


16 


Charles N. Surles, nurse, 












- 


- 


9 


Henry H. Barlow, nurse, 












- 


- 


7 


Burton G. Fisk, nurse, . 












- 


- 


6 


Albert A. Bond, nurse, . 












_ 


_ 


5 


William S Brown, nurse, 












- 


7 


- 


Fannie Thorndyke, nurse, 












2 


4 


- 


Mary E. Root, nurse, 












2 


5 


16 


Maud Amsden, nurse, . 












2 


1 


15 


Eliza Shaw, nurse, 














10 


11 


Katherine R. Maloney, nurse 














6 


21 


Mary T. Simmons, nurse, 














2 


23 


Maud L. Wheeler, nurse, 














1 


27 


Belle McLaurin, nurse, . 














- 


17 


Hannah B. Mann, nurse, 












_ 


11 


15 


Mary Mill, nurse, . 












- 


11 


9 


Clara Mill, nurse, . 












- 


11 


- 


Angie B. Loud, nurse, . 












- 


10 


- 


Alice E. Bedell, nurse, . 












- 


9 


28 


Mary A. Sawyer, nurse, 












- 


7 


- 


Bertha M. Smith, nurse, 












- 


7 


2 


Mary A. Cook, nurse, 












3 


5 


24 


Janet E. Clark, nurse, . 












_ 


5 


_ 


Winnie A Martin, nurse, 












_ 


5 


5 


Florence M. Hutt, nurse, 












_ 


5 


1 


Daisy Colton, nurse, 












- 


5 


24 


Helena Donoghue, nurse, 












- 


4 


28 


Lulu Crosier, nurse, 












- 


1 


28 


Mabelle Lee, nurse, 












_ 


1 


19 


Pamelia M. Saunders, nurse, 












_ 


_ 


28 


Janie McMillan, nurse, . 












_ 


_ 


9 


Lucy Howatt, nurse, 












_ 


- 


9 


Hazel Hayden, nurse, . 












_ 


- 


3 


Grace Andrews, nurse, . 












_ 


_ 


3 


Edna C. Bennett, usher, . 












_ 


3 


14 


Bessie M. Jones, centre housework, 








3 


11 


7 


Eleanor Metcalf, centre housework, 








_ 


5 


24 


Mary Depkin, employees' dining room, 








- 


2 


8 


Harriet Briggs, rear housework, . 








2 


1 


22 


Maggie Tobin, cook, 








_ 


11 


19 


Lillie Malick, cook, 








_ 


1 


26 


Mary Curran, kitchen girl, . 








3 


- 


29 


Harriet O'Connor, kitchen girl, 








_ 


10 


7 


Nora Crohan, kitchen girl, . 








_ 


- 


6 


Walter D. Newton, assistant engineer, 








3 


8 


16 


Otis Osman, assistant engineer, . 








2 


4 


22 


Curtis H. Cutler, fireman, 








_ 


_ 


4 


George W. Thorniley, florist, 








10 


5 


11 


Nicholas Reil, gardener, 








26 


8 


8 


Henry Mould, gardener, 








5 


4 


10 


Sifroi Belleville, carpenter, . 








32 


3 


29 


Waiter Tower, carpenter, 








24 


8 


- 



28 



NOKTHAMPTON INSANE HOSPITAL. 



[Oct. 



NAMES. 


Years. 


Months. 


Days. 


Alfred Parenteau, painter, 


36 


1 


17 


William G. Nicholls, painter, 








1 


- 


9 


Thomas P. Clair, plumber, . 








5 


5 


1 


George W. Braman, assistant plumber, 








14 


10 


7 


Roscoe C. Tobin, assistant plumber, 








- 


10 


28 


David Mercier, coachman, 








26 


7 


13 


Henry M. Wilson, assistant farmer, 








24 


5 


7 


Xaviar Dion, farm laborer, . 








10 


3 


16 


Charles Ulrich, farm laborer, 










6 


5 


7 


B. McNamara, farm laborer, . 










5 


5 


8 


Benjamin W. Read, farm laborer, 










3 


11 


_ 


Henry R. Egleston, farm laborer, 










1 


3 


27 


Henry W. Fuller, farm laborer, 










2 


7 


2 


John C. Rubach, farm laborer, 










1 


- 


18 


Alexander Wylie, farm laborer, 










- 


6 


- 


James Dion, farm laborer, 










- 


5 


- 


John F. Upton, farm laborer, 










- 


1 


5 


Joseph Berube, farm laborer, 












1 


25 


W. C. Streeter, farm laborer, 










- 


1 


1 


Wendell Kellogg, watchman, 










- 


8 


25 


Bernard Kilkenney, foreman, 










5 


1 


12 


William A. Burrows, mechanic, 










- 


1 


22 


Richard Ryan, mechanic, 










— 


1 


9 



1903.] PUBLIC DOCUMENT — No. 21. 29 



LIST OF PERSONS REGULARLY EMPLOYED 

AT THE NORTHAMPTON INSANE 

HOSPITAL. 



Superintendent and physician, .... per year, $2,800 00 

Female physician, " 900 00 

Assistant physician, " 900 00 

Assistant physician, " 900 00 

Treasurer and clerk, " 1,800 00 

Engineer, house rent and partial board, . . " 1,100 00 

Farmer " 780 00 

Florist, without board, " 700 00 

Matron, " 500 00 

Superintendent of nurses, per month, 50 00 

Superintendent of nurses, " 40 00 

Assistant superintendent of nurses, ..." 35 00 

Secretary to the superintendent, ..." 30 00 

Seamstress, " 25 00 

Assistant seamstress, " 18 00 

Laundry man, " 40 00 

Laundresses (four), " $14 00 to 16 00 

Baker, " 50 00 

Assistant baker, " # 30 00 

Steward, with partial board, " 60 00 

Assistant steward, " 47 50 

Assistant steward, " 40 00 

Nurses (men, twenty-eight), .... " $21 00 to 33 00 

Nurses (women, twenty-nine),. ..." 14 00 to 25 00 

Usher, " 14 00 

Housemaids (three), " $15 00 to 18 00 

Waitress, " 14 00 

Cook, " 25 00 

Cook, " 18 00 

Kitchen girls (three), " $14 00 to 16 00 

Watchman, " 25 00 



30 



NORTHAMPTON INSANE HOSPITAL. [Oct, 



Painter, per month, $60 00 

Painter, " 50 00 

Gardeners (two), " 30 00 

Assistant engineer, " 45 00 

Assistant engineer, " 33 00 

Fireman, " 30 00 

Coachman, " 35 00 

Farm laborers (fourteen), .... " $21 00 to 35 00 

Carpenter, per day, 2 25 

Carpenter " 2 00 

Plumber, " 3 00 

Assistant plumber, " 1 75 

Assistant plumber, per month, 30 00 

Foreman, per day, 1 75 

Mechanic " 3 00 

Mechanic, " 1 75 



1903.] 



PUBLIC DOCUMENT — No. 21. 



31 



TREASURER'S REPORT. 



To the Trustees of the Northampton Insane Hospital. 

I respectfully submit the following report of the finances of 
this institution for the year ending Sept. 30, 1903 : — 



Assets. 

Five hundred and five acres of land, $53,400 00 

Hospital building, 480,000 00 

Women's infirmary, 55,000 00 

Farmhouse, 

Brick house, 

Three dwellings, 

Storehouse, shops and cold storage, ..... 

Two barns, 

Horse stable, 

Cow stable, 

Piggery, 

Lumber house, 

Cart shed, 

Pump house, 

Two ice houses, 

Fire-proof house for oils and paints, 



Personal Estate. 

Stocks and supplies as per inventory, 



1,500 00 


1,700 00 


2,000 00 


30,000 00 


4,000 00 


6,000 00 


12,000 00 


3,000 00 


850 00 


400 00 


500 00 


300 00 


500 00 


5651,150 00 


$94,995 92 



Receipts. 

Applicable to maintenance : — 

All appropriations, 

Amount credited through State Board of Insanity 

Received from cities and towns 

Received from individuals, 

Received from soldiers' relief, 

Received from sales, . 

Received from interest on bank balance, 

Cash on hand Sept. 30, 1902, 

Total maintenance fund, . 

Amount carried forward, 



$22,990 00 




274 


10 




78,252 


00 




27,598 64 




677 


84 




2,229 


73 




143 


26 




1,586 


79 


8133,752 36 






. 


f 133,752 36 



32 NOKTHAMPTON INSANE HOSPITAL. [Oct. 

\ 
Amount brought forward, $133,752 36 

All other sources : — 
From State Treasurer on account of special appropriations, . 38,289 48 

Total receipts, $172,041 84 

Payments. 

Expenditures for maintenance : — 
Salaries, wages and labor, $43,709 18 

Food : — 

Butter, $7,214 92 

Beans, 358 42 

Bread and crackers, 1,027 26 

Cereals, rice, meal, etc., 780 56 

Cheese, 117 53 

Eggs, 4,237 17 

Flour, 3,533 00 

Fish, : 1,699 07 

Fruit 970 07 

Meats, 8,032 84 

Milk, 344 25 

Molasses, 168 34 

Sugar 2,470 14 

Tea, coffee, broma and cocoa, . 1,106 86 

Vegetables 323 00 

Sundries, 773 08 

33,156 45 



Clothing and clothing material : — 
Boots, shoes and rubbers, . 

Clothing, 

Dry goods for clothing and small wares, 
Furnishing goods, .... 

Hats and caps, 

Sundries, 



Furnishings : — 
Beds, bedding, table linen, etc., . 
Brushes, brooms, etc., 
Crockery, glass ware, cutlery, etc., 
Furniture and upholstery, . 
Kitchen furnishings, . 
Wooden ware, buckets, pails, etc., 
Sundries, 



$800 89 

1,565 70 

2,225 89 

49 60 

47 00 

17 50 



$2,721 32 

55 00 

976 01 

419 00 

71 62 

5 64 

206 60 



4,706 58 



4,455 19 



Amount car Tied forward, $86,027 40 



1903.] PUBLIC DOCUMENT — No. 21. 33 

Amount brought forward, $86,027 40 

Heat, light and power : — 

Fuel, 

Gas, 

Oil, 

Sundries, 



Repairs and improvements : — 

Bricks, 

Cement, lime and plaster, . 

Doors, sashes, etc., .... 

Electrical work and supplies, 

Hardware, 

Lumber, 

Machinery, etc., 

Paints, oils, glass, etc., 

Plumbing, steamfitting and supplies, 

Roofing and material, 

Mechanics and laborers (not on pay roll) 

Sundries, 



Farm, stable and grounds : — 
Blacksmith and supplies, . 
Carriages, wagons and repairs, 
Fertilizers, vines, seeds, etc., 
Hay, grain, etc, . 
Harness and repairs 
Horses, 
Cows, . 

Other live stock, . 
Labor (not on pay roll), 
Rent, .... 
Tools, farm machines, etc., 
Sundries, 



Miscellaneous : — 
Books, periodicals, etc., 
Chapel services and entertainments, . 
Freight, express and transportation, . 
Funeral expenses, ; 

Hose, etc., 

Medicines and hospital supplies, 
Medical attendance, nurses, etc. (extra), 

Postage, 

Printing and printing supplies, . 
Return of runaways, .... 
Soap and laundry supplies, 

Amounts carried forward, . 



$11,717 76 


82 90 


194 55 


54 02 


IDfllQ OQ 


8228 99 


415 45 


36 05 


99 68 


526 60 


405 94 


1,544 16 


771 42 


1,547 73 


190 80 


720 01 


892 36 


7 Q7Q 1Q 




8305 54 


28 05 


1,093 56 


6,176 50 


127 57 


401 05 


60 00 


550 30 


6 00 


51 13 


559 86 


174 06 


Q *:oq fio 




$218 88 


708 00 


881 18 


17 70 


96 50 


807 20 


117 00 


214 44 


105 93 


35 74 


871 29 



$4,073 86 $114,989 44 



34 



NORTHAMPTON INSANE HOSPITAL. 



[Oct. 



Amounts brought forward, . 

Stationery and office supplies, . 
Travel and expenses (official), . 
Telephone and telegraph, . 

Tobacco, 

Water (average price per 1,000 gallons $0.06), 
Sundries, 



$4,073 86 $114,989 44 



Total, 



263 09 




508 13 




279 49 




428 59 




2,970 66 




591 72 






9,115 54 






$124,104 98 



Expenditures for all other purposes : — 
Acts 1901, chapter 471, for construction of in 

firmary, barn and sewerage, . 
Acts 1903, chapter 414, for construction of in 
firmary and change of heating plant, 
Total 



$37,831 32 
458 16 



38,289 48 



Total expenditures, $162,394 46 

During the year the average number of patients has been 657. 
Dividing the total expenditures for maintenance (£124,104.98) 

by the average number gives an annual cost of . . $188 89 

■Equivalent to an average weekly cost of 3 62 



Resources and Liabilities. 
Resources. 
Applicable to maintenance : — 

Cash on hand October 1, payable to State Treasurer, . . $1,906 50 
Balance of receipts and maintenance appropriations, with 

State Treasurer, 4,746 68 

Bills due from cities and towns for support of patients, . . 20,476 03 

Bills due from individuals for support of patients, . . . 9,621 89 

Bills due from soldiers' relief for support of patients, . . 297 59 

Total, $37,048 69 

Not applicable to maintenance : — 

Total unexpended special appropriations, .... 77,035 72 

Total resources, $114,084 41 

Liabilities. 
On account of maintenance : — 

Salaries, wages and labor, $3,613 61 

Food, 2,163 93 

Clothing and clothing material, 24 00 

Furnishings, 32 22 

Heat, light and power, 1,506 32 

Amount carried forward, $7,340 08 



1903.] PUBLIC DOCUMENT — No. 21. 35 

Amount brought forward, $7,340 08 

Repairs and improvements, 762 24 

Farm, stable and grounds, 756 02 

Miscellaneous, 1,081 23 

Total, . §9,939 57 

Not on account of maintenance : — 

Bills due on account of special -appropriations, . . . 3,856 29 

Total liabilities $ 13,795 86 

Balance for the institution : — 

On account of maintenance, $ 27,109 12 

On account of special appropriations, 73,179 43 

On account of current income and special appropriations, . 100,288 55 



Cash Account. 
Dr. 

To cash on hand Oct. 1, 1902, .... $1,586 79 

Since drawn from State Treasurer, . . . 162,494 46 

From sales 2,229 73 

From all other sources, payable to State Treas- 
urer, ........ 106,671 74 

From loan, 4,200 00 

Total, 



$277,182 72 



Cr. 

By cash paid to State Treasurer, 

for salaries, wages and labor 

for food, 

for clothing and materials, 

for furnishings, 

for heat, light and power, 

for repairs and improvements 

for farm, stable and grounds, 

for miscellaneous, . 

for special appropriations, . 

for loan, .... 

By cash on hand Sept. 30, 1903, 



$108,681 76 

43,709 18 

33,156 45 

4,706 58 

4,455 19 

12,049 23 

7,379 19 

9,533 62 

9,115 54 

38,289 48 

4,200 00 

1,906 50 



$277,182 72 



LEWIS F. BABBITT, 

Treasurer. 



"We have examined, as auditors, the accounts of the treasurer, and found a satisfactory 
voucher for every entry. 

ALVAN BARRUS. 
HENRY P. FIELD. 



36 



NORTHAMPTON INSANE HOSPITAL. 



[Oct. 



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74,541 84 


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1903.] PUBLIC DOCUMENT — No. 21. 37 



INYENTOKY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1903. 



Live stock on farm, $11,094 94 

Produce of farm on hand, 11,441 50 

Carriages and agricultural implements, 3,200 00 

Machinery and mechanical fixtures, 17,750 00 

Beds and bedding in inmates' department, .... 15,000 00 

Other furniture in inmates' department, 9,000 00 

Personal property of State in superintendent's department,* . 10,000 00 

Ready-made clothing, 1,456 27 

Dry goods, 2,612 96 

Provisions and groceries, 5,901 99 

Drugs and medicines, 550 00 

Fuel 3,872 80 

Library, 1,250 00 

Other supplies undistributed, 1,865 46 



$94,995 92 



* This term is here applied to the whole of the central edifice or block, and includes 
all the offices, the kitchen, the bakery, the sewing room and other departments. 



STATISTICAL TABLES. 



[Form prescribed by State Board of Insanity.] 



STATISTICAL TABLES. 



General Statistics of the Year. 





JIales. 


Females. 


Totals. 


Patients in the hospital Oct 1, 1902, . 


347 


312 


659 


Admitted within the year, 


122 


135 


257 


Returned from elopement, 


1 


- 


1 


Whole number of cases within the year, . 


470 


447 


917 


Viz : insane, 


119 


132 


252 


voluntary, 


3 


3 


6 


Discharged within the year, . 


81 


72 


153 


Viz. : as recovered at the time of leaving the 








hospital, 


22 


17 


39 


as much improved, 


16 


19 


35 


as improved, 


16 


22 


38 


as not improved, . 


26 


13 


39 


voluntary, 


1 


1 


2 


Eloped, 


6 


1 


7 


Deaths, 


37 


28 


65 


Patients remaining Sept. 30, 1903, 


346 


346 


692 


Viz. : supported as State patients, 


54 


46 


100 


town patients, 


244 


243 


487 


private patients, . 


48 


57 


105 


Number of different persons within the year, . 


468 


445 


913 


Persons admitted, 


121 


135 


256 


Persons recovered, 


21 


17 


38 


Daily average number of patients, . 


336 


321 


657 


Viz.: State, 


53 


44 


97 


town, 


238 


227 


465 


private, 


46 


50 


96 



42 



NORTHAMPTON INSANE HOSPITAL. [Oct. 






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1902. 
1903. 


Total of cases, .... 

Total of persons, 

Daily average, .... 


October, . 

November, 

December, 

January, . 

February, 

March, 

April, 

May, 

June, 

July, 

August, . 

September, 



1903.] 



PUBLIC DOCUMENT — No. 21. 



43 



3. — Received on First and Subsequent Admissions. 





Cases admitted. 


Times previously 
recovered. 


NLMBER OF ADMISSION. 
















Males. 


Females. 


Totals. 


Males. 


Females. 


Totals. 


First, 


99 


107 


206 








Second, 


, 


17 


16 


33 


7 


6 


13 


Third, . 


t 


2 


9 


11 


_ 


4 


4 


Fourth, 


. 


3 


_ 


3 


1 


- 


1 


Fifth, . 




_ 


2 


2 


_ 


1 


1 


Sixth, . 


, 


_ % 


1 


1 


_ 


- 


- 


Seventh, 




1 


- 


1 


1 


- 


1 


Total of cases, 


122 


135 


257 


9 


11 


20 


Total of persons, . 


121 


135 


256 


- 


- 


- 



Relations to Hospitals of Persons admitted. 



HOSPITAL RELATIONS. 


Males. 


Females. 


Totals. 


Never before in any hospital for insane, . 
Former inmates of this hospital only, 

of other hospitals only, . 

of this and other hospitals, 


95 

21 

4 

2 


102 

28 

5 


197 

49 

9 

2 


Total of cases, 

Total of persons, 


122 
121 


135 
135 


257 
256 



44 



NOKTHAMPTON INSANE HOSPITAL. [Oct. 



5. — Nativity and Parentage of 


Persons admitted 


• 












Parents. 


PLACES OF NATIVITY. 






males. 


FEMALES. 


TOTALS. 




Ma. 


Fe. 


Tot. 


Fa. 


Mo. 


Fa. 


Mo. 


Fa. 


Mo. 


Massachusetts, 


52 


54 


106 


29 


28 


21 


21 


50 


49 


Other States, . 


25 


30 


55 


19 


21 


20 


21 


39 


42 


Total native, . 


77 


84 


161 


48 


49 


41 


42 


89 


91 


Austria, . 


- 


4 


4 


- 


- 


3 


4 


3 


4 


Armenia, . 


1 


- 


1 


1 


1 


- 


- 


1 


1 


Bulgaria, . 


1 


- 


1 


2 


1 


- 


- 


2 


1 


Canada, . 


16 


8 


24 


18 


19 


11 


11 


29 


30 


England, . 


2 


5 


7 


3 


3 


12 


8 


15 


11 


France, . 


2 


- 


2 


2 


2 


- 


- 


2 


2 


Germany, 


2 


2 


4 


4 


4 


5 


4 


9 


8 


Hungary, 


1 


- 


1 


1 


1 


- 


- 


1 


1 


Ireland, . 


11 


25 


36 


30 


29 


52 


55 


82 


84 


Italy, 


1 


1 


2 


1 


1 


1 


1 


2 


2 


Poland, . 


1 


- 


1 


1 


1 


- 


- 


1 


1 


Russia, 


4 


2 


6 


4 


4 


2 


2 


6 


6 


Scotland, . 


2 


4 


6 
95 


3 


2 


4 
90 


4 
89 


7 


6 


Total foreign, . 


44 


51 


70 


68 


160 


157 


Unknown, 


- 


- 


- 


3 


4 


4 
135 


4 
135 


7 
256 


8 


Totals, . 


121 


135 


256 


121 


121 


256 



1903.] 



PUBLIC DOCUMENT — No. 21. 



45 



6. — Residence of Persons admitted. 



PLACES. 


Males. 


Females. 


Totals. 


Hampshire County, 


21 


32 


53 


Hampden County, 


60 


69 


129 


Berkshire County, 


28 


19 


47 


Franklin County, 


11 


14 


25 


Suffolk County, 


- 


1 


1 


Middlesex County, 


1 


- 


1 


Totals, 


121 


135 


256 


Cities and towns, 


80 


85 


165 


Country districts, 


41 


50 


91 


Totals 


121 


135 


256 



7. — Civil Condition of Persons admitted. 







Unmarried 


Married. 


Widowed. 


Divorced. 


Totals. 


NUMBER OF THE 

ADMISSION. 


"a 
3 


i 

a 


09 

5 
o 


00 

jy 


S 

D 

Eh 


i 
"3 
o 


■ 

a 


i 
a 
a! 

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• 

Eu 


o 


— 

5 
2 


09 

.2 

B 

o 
Ee. 


o 

Eh 


09 

W 

"a 

2 


Females 
Totals. 


First, 

Second, . 

Third, . 

Fourth, . 

Fifth, 

Sixth, 

Seventh, . 

Total of cases, 
Total < f persons, 


42 
7 
2 
2 

53 
53 


51 
6 
4 

1 
1 

63 
63 


93 
13 

6 
2 

1 
1 

116 
116 


49 
10 

1 

1 
61 
60 


37 
8 

4 

1 

50 
50 


86 

18 

4 

1 

1 
111 
110 


8 

8 
8 


19 
2 

1 

22 
22 


27 
2 

1 

30 
30 


- 


- 


- 

• 


99 

17 

2 

3 

1 
122 
121 


107 
16 
9 

2 
1 

135 
135 


206 

33 

11 

3 

2 

1 

1 

257 

256 



4(5 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



8. — Occupation of Persons admitted. 











MALES. 








Blacksmith, .... 


1 


Millwright, .... 


1 


Barbers, 








2 


Mechanic, 






1 


Bleacher, 








1 


Moulders, . 






2 


Cab driver, 








1 


Mason tender, 






1 


Carpenters, 








5 


Merchant, . 






1 


Canvasser, 








1 


Operatives, . 






11 


Clerks, . 








4 


Plumber, 






1 


Cooks, . 








3 


Printers, 






3 


Electrotyper, 








1 


Photographer, 






1 


Farmers, 








12 


Paper makers, 






2 


Brakeman, 








1 


Physicians, . 






4 


Gun maker, 








1 


Stone cutter, 






1 


Gardener, 








1 


Shoemakers, 






6 


Hotel keeper, 








1 


Tinsmith, 






1 


Lather, . 








1 


Teamster, . 






1 


Laborers, 








29 


Tailors, 






2 


Lawyer, . 








1 


Whipmaker, 






1 


Machinists, 








5 


Waiter, 






1 


Motormen, 








2 


No occupation, 






7 



FEMALES. 



Cooks, 


3 


Milliner, .... 


1 


Clerk, . 




1 


Nurse. . 






. 1 


Corset maker, 




1 


Operatives, . 






19 


Domestics, 




20 


Saleswomen, 






3 


Dressmakers, 




2 


Teacher, 






1 


Housekeepers, 




8 


Waitress, 






1 


Housewives, . 




4 


No occupation, 






33 


Laundress, 




1 













WIFE 


OF- 










Agent, 


1 


i 

Meat cutter, .... 


1 


Carpenter, 






3 


Operative, . 








5 


Express messenger, 






1 


Porter, . 










Engineer, 






1 


Plumber, 










Draughtsman, 






1 


Salesman, . 










Farmer, . 






6 


Tailor, . 










Grocer, . 






1 i 


Veterinary, . 










Laborer, 






9 


Wood worker, 








2 



1903.] 



PUBLIC DOCUMENT — Xo. 21. 



47 





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NORTHAMPTON INSANE HOSPITAL. [Oct. 



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CAUSES. 


















A. — Insane : — Con. 

Lactation, 

Masturbation, . 

Menopause, 

Puerperium, . 

Senility, .... 

Senility and menopause, 

Syphilis, .... 

Unknown, 
B. — Habitual drunkard, 
C. — Morphine habit, 
D.— Voluntary, 


O- 



1903.] 



PUBLIC DOCUMENT— No. 21. 



49 



10. — Record of Cases admitted within the Year. 



1 

PATIENTS. Males. 


Females. 


Totals. 


Admitted, .... 






122 


135 


257 


Insane, 






119 


132 


251 


Voluntary, . 






3 


3 


6 


Discharged recovered, 






10 


7 


17 


much improved, 






7 


5 


12 


improved, 






10 


7 


17 


not improved,. 






10 


4 


14 


voluntary, 






1 


1 


2 


Eloped, .... 






- 


- 


- 


Died, 






15 


10 


25 


Remaining Sept. 30, 1903, 






69 


101 


170 






13 


14 


27 



50 



NORTHAMPTON INSANE HOSPITAL. [Oct, 



11. — Ages of Insane at First Attack, Admission and Death. 





Persons first admitted 
to Any Hospital. 


PERSON8 DIED. 


AGES. 


at 
first attack. 


WHEN 
ADMITTED. 


AT 
FIRST ATTACK. 


AT 
TIME OF DEATH. 




Ma. 


Fe. 


Tot. 


Ma. 


Fe. 


Tot 


Ma. 


Fe. 


Tot 


Ma. 


Fe. 


Tot. 


Congenital, 


8 


7 


15 


- 


- 


- 


1 


- 


1 


- 


- 


- 


15 years and lees, 


- 


1 


1 




















From 15 to 20 years, . 


7 


2 


9 


4 


4 


8 


1 


1 


2 


- 


- 


- 


20 to 25 years, . 


9 


11 


20 


10 


3 


13 


3 


- 


3 


1 


- 


1 


25 to 30 years, . 


12 


14 


26 


10 


11 


21 


2 


1 


3 


3 


1 


4 


30 to 35 years, . 


13 


13 


26 


14 


11 


25 


2 


1 


3 


1 


1 


2 


35 to 40 years, . 


13 


10 


23 


8 


16 


24 


1 


2 


3 


1 


- 


1 


40 to 50 years, . 


12 


15 


27 


21 


24 


45 


8 


6 


14 


6 


5 


11 


50 to 60 yenrs, . 


7 


12 


19 


12 


14 


26 


4 


8 


12 


7 


6 


13 


60 to 70 years, . 


9 


10 


19 


10 


10 


20 


6 


3 


9 


8 


7 


15 


70 to 80 years, . 


5 


5 


10 


5 


6 


11 


6 


3 


9 


8 


3 


11 


Over 80 years, . 


- 


2 


2 


1 


3 


4 


2 


2 


4 


2 


5 


7 


Unknown 


95 


102 


197 


95 


102 


197 


1 

1 37 


1 

28 


2 
65 


- 


- 


- 


Total of persons, 


37 


28 


65 


Mean ages, . 


50 


42 


46 


54 


56 


55 


51 


52 


52 


60 


61 


60 



12. — Reported Duration of Disease before Last Admission. 



PREVIOUS DURATION. 




First Admission 
to Any Hospital 


All Other 
Admissions. 


Totals 






Ma. 


Fe. Tot. 


Ma. Fe. 


Tot. 


Ma. 


Fe. 


Tot. 


Congenital, 








8 


7 


15 


5 


2 


7 


13 


9 


22 


Under 1 month, 








16 


9 


25 


4 


2 


6 


20 


11 


31 


From 1 to 3 months, 








11 


6 


17 


2 


2 


4 


13 


8 


21 


3 to 6 months, 








5 


6 


11 


3 


3 


6 


8 


9 


17 


6 to 12 months, 








4 


11 


15 


- 


1 


1 


4 


12 


16 


1 to 2 years, 








21 


13 


34 


4 


- 


4 


25 


13 


38 


2 to 5 years, 








22 


25 


47 


4 


9 


13 


26 


34 


60 


5 to 10 years, 








5 


16 


21 


2 


4 


6 


7 


20 


27 


10 to 20 years, 








1 


6 


7 


2 


5 


7 


3 


11 


14 


Over 20 years, . 








2 


3 


5 


1 


5 


6 


3 


8 


11 


Unknown, 


























Total of cases, . 


95 


102 


197 


27 


33 


60 


122 


135 


257 


Total of persons, 








- 


- 


- 


- 


- 


- 


121 


135 


256 


Average in years, 








2.2 


3.81 


3.05 


3.7 


10.75 


7.84 


- 


- 


- 



1903.] 



PUBLIC DOCUMENT — No. 21. 



51 






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52 



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1903.] 



PUBLIC DOCUMENT — No. 21. 



53 



15. — Causes of Death. 





Males. 


Females. 


Totals. 


Bronchitis, ...... 






- 


1 


1 


Chronic endocarditis, 






3 


- 


3 


Cerebral hemorrhage, 






6 


2 


8 


Exhaustion from delirium tremens, 






1 


- 


1 


Exhaustion from acute delirium, 






1 


- 


1 


Erysipelas, .... 






- 


4 


4 


Myocarditis, .... 






1 


1 


2 








1 


- 


1 


Organic heart disease, 






2 


- 


2 


Paresis, 






8 


3 


11 


Pulmonary tuberculosis, . 






5 


1 


6 


Pneumonia, \ 






- 


1 


1 


Pneumonia and heat prostration, 






- 


1 


1 


Pulmonary embolism, 






- 


1 


1 


Septicaemia, .... 






1 


- 


1 


Suffocation, .... 






- 


1 


1 


Senility, 






4 


6 


9 


Suicide, 






2 


- 


2 


Tubercular peritonitis, 






1 


- 


1 


Typhoid fever, .... 






- 


1 


1 


Uraemia, 






1 


1 


2 


Valvular heart disease, 






- 


4 


4 



54 



NORTHAMPTON INSANE HOSPITAL. [Oct. 






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14.49 


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28.74 


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From 1 to 3 months, 

3 to 6 months, 

6 to 12 months, 

1 to 2 years, .... 

2 to 5 years, .... 
5 to 10 years, .... 

10 to 20 years, .... 


Totals, 

Average of known cases (in months), 



1903.] 



PUBLIC DOCUMENT — Xo. 21. 



55 



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1 to 2 years, 

2 to 5 years, 
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10 to 20 years, 
Over 20 years, 
Unknown, .... 


Totals, .... 

Average of known eases (in 

months), .... 



56 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



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1903.] 



PUBLIC DOCUMENT — No. 21 



57 



1 i-i 1 i- 1 1 1 1 1 1 1 1 iH | | | | | I | (NHHMNCOOM 

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58 



NOKTHAMPTOX INSANE HOSPITAL. [Oct, 



e 



cc 



REMAINING OF 

BACH Ykar's Ad- 
missions, 
Ski-t. 30, 1903. 


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NOKTHAMPTON INSANE HOSPITAL. [Oct. 



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PUBLIC DOCUMENT — Xo. 21. 



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PUBLIC DOCUMENT . . . . 



. No. 21. 



FORTY-NINTH ANNUAL REPORT 



THE TRUSTEES 



Northampton Insane Hospital, 



Year ending September 30, 1904. 




BOSTON : 
WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1905. 



PUBLIC DOCUMENT . . 



. No. 21. 



FORTY-NINTH ANNUAL REPORT 



THE TRUSTEES 



Northampton Insane Hospital, 



Year ending September 30, 1904. 




BOSTON : 
WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1905. 



NOV 3 

TON 




Approved by 
The State Board of Publication. 



3 



CONTENTS. 



PAGE 

List of Officers, 5 

Report of Trustees, 7 

Report of Superintendent, 10 

Acknowledgments, 16 

Dietary, 17 

Articles made in Sewing Room, 20 

Upholstery done in the Year, 20 

Farm Products, 21 

Officers and Employees — Time employed, 23 

List of Persons employed in the Hospital, 26 

Report of the Treasurer, 28 

Inventory of Stock and Supplies, 33 

Statistics 35 



OFFICERS 



NOKTHAMPTON INSANE HOSPITAL 



TRUSTEES. 

CAROLINE A. YALE, Northampton. 

F. W. CHAPIN, M.D., Springfield. 

WILLIAM D. MacINNES, Pittsfield. 

HENRY P. FIELD, Northampton. 

CHARLES S. SHATTUCK, Hatfield. 

ALVAN BARRUS, Goshen. 

SARAH A. WOOD WORTH, Chicopee. 

RESIDENT OFFICERS. 

JOHN A. HOUSTON, M.D., Superintendent. 

HARRIET M. WILEY, M.D., Assistant Physician. 

CHARLES H. DEAN, M.D., Assistant Physician. 

ARTHUR B. MOULTON, M.D., Assistant Physician. 

GRACE E. B. RICE, M.D., Assistant Physician. 

LEWIS F. BABBITT, Clerk. 

IDA A. PORTER, Matron. 

JOHN MERCIER, Farmer. 

GEORGE T. GILBERT Engineer. 

TREASURER. 

LEWIS F. BABBITT, Northampton. 

Office at the Hospital. 



Comtttotibttalifr ai HlHSsarfrusetts 



TEUSTEES' KEPORT. 



To His Excellency the Governor of the Commonwealth and the Honorable 

Council. 

The trustees of the Northampton Insane Hospital respect- 
fully submit their forty-ninth annual report of the business 
affairs of the hospital, including as a part of it the reports of 
the superintendent and treasurer. 

The most important work of the year has been the erection 
of the infirmary ward for men. Construction of this building 
was begun in the spring and has progressed rapidly. It is 
hoped that it will be ready for use early next spring. The 
location selected for it is a very favorable one, about 100 feet 
north of the old building, far enough away to permit unob- 
structed light and air for both old and new buildings. It is 
connected with the old building by a corridor one story high, 
which has, midway, an octagonal sun room. The main build- 
ing faces the south, and is so planned that every room occupied 
by patients gets sunshine throughout the greater part of the 
day. In the centre is a sun room with windows facing east, 
south and west. The building will accommodate 92 patients 
and 34 nurses. The transfer of some of the latter from the 
old building will vacate rooms which will be available for the 
patients. 

The changes in the heating department, for which appro- 
priation was made last year, have been completed and the 
results are very satisfactory. 



8 NORTHAMPTON INSANE HOSPITAL. [Oct. 

The alterations in the old barn have been nearly completed. 

The Avard on the lower floor of the infirmary building for 
women has been finished except for a few details, and will soon 
be occupied. 

The Legislature authorized our Board to expend from the 
maintenance appropriation the sum of $2,800 for a system of 
telephones and night watchman's clocks and for the repair and 
construction of sidewalks, but we have thought it unadvisable 
to undertake these improvements till it could be seen whether 
the amount mentioned could be spared from the maintenance 
fund. 

We approve of the suggestions made in the superintendent's 
report, and shall ask the Legislature to make appropriations 
as follows : for a new engine and electric generator, to replace 
the one now in use, the sum of $4,000 ; for a hot-house for the 
farm and garden, the sum of $1,500; and for a spur track 
from the New York, New Haven and Hartford Railroad to 
our grounds, a sum which we shall estimate after a conference 
with the railroad officials, now pending. 

The most important matter in the affairs of the hospital to 
be considered by the trustees is the serious overcrowding of 
our wards, due to the transfer of the insane from the alms- 
houses of this district to the hospital. The new buildings of 
last year and this will not provide room enough for them. In 
our opinion, it is not advisable to enlarge this institution, 
because of the great expense involved. If relief cannot be 
afforded by transfer to one of the three State institutions for 
the chronic insane, as we hope will be done, we must continue 
to provide for them, and the most economical way would 
appear to be to establish colonies. This plan was suggested 
two years ago by this Board, but the Legislature did not 
approve of granting money for the purpose. 

So far as we are concerned, we believe the small hospital is 
much more advantageous for patients and employees, and we 
should prefer to remain at our present size rather than to 
expand to a larger institution. 

Regular monthly meetings of the trustees have been held at 
the hospital, at which times the hospital was inspected, and 
many visits of members of the Board have been made between 



1904.] PUBLIC DOCUMENT — No. 21. 9 

the times of the stated meetings. We have always found the 
hospital in excellent order, and affairs progressing quietly and 
smoothly. 

There has been but one change on the medical staff; in 
November Dr. Grace E. B. Rice was appointed to serve for a 
term of one year. 

The trustees desire to again express their approval of the 
efficient service of the superintendent and the staff of medical 
and other officers. 

CAROLINE A. YALE. 

F. W. CHAPIN, M.D. 

WILLIAM D. MacINNES. 

HENRY P. FIELD. 

CHARLES S. SHATTUCK. 

ALVAN BARRUS. 

SARAH A. WOODWORTH. 



10 NORTHAMPTON INSANE HOSPITAL. [Oct. 



SUPERINTENDENT'S EEPORT. 



To the Trustees of the Northampton Insane Hosjrital. 

The superintendent respectfully presents the following re- 
port for the } r ear ending Sept. 30, 1904. 

There were 692 patients in the hospital on Oct. 1, 1903; 
333 were admitted, making 1,025 under treatment, — 108 
more than last year; 273 were dismissed, leaving 752 at the 
end of the year. The largest number on any one day was 772. 
The daily average number was 734, — 77 larger than last year, 
which at that time was the largest in the histoiy of the hospital. 

These figures represent cases who were actually under treat- 
ment at the hospital, and do not agree with those given in the 
statistical tables accompanying this report, because the latter 
include 59 cases in various almshouses who were committed 
for the purpose of transferring them to the jurisdiction of the 
State Board of Insanity, and were dismissed from our author- 
ity without having been admitted in person to the hospital. 
For the purpose of record, however, we were requested to 
treat the cases in our tables of statistics as though they had 
actually been brought to the hospital. 

Of the persons admitted, 235 had never been in any hospital 
for the insane, though 51 had been cared for in almshouses 
before being brought here ; 76 had been here before, of whom 
13 had been in almshouses since leaving the hospital; 21 had 
been in other hospitals than this. Only 140 of the persons 
admitted were born in Massachusetts, and but 195 were born 
in the United States. Forty-two per cent, were of foreign 
birth. 

The chief causes of insanity in the cases admitted were 
heredity, intemperance, senility, congenital causes, and or- 
ganic lesions of the brain, in the order given. 



1904.] PUBLIC DOCUMENT — No. 21. 11 

The great majority of the patients admitted had an incurable 
form of mental disease ; in 31 cases the disease was congenital ; 
in 164 it had existed for more than a year. Thirty-three of 
the patients admitted were more than sixty years of age, 21 
were over seventy years of age and 10 were over eighty years 
of age. 

Of the discharged, 27 were considered recovered, 29 much 
improved, 38 improved, 34 not improved. 

The number of recoveries is smaller than for many years, 
but is as large as the character of the patients admitted in the 
past year would warrant. Eecoveries can only be expected in 
certain types of insanity recognized as curable, and in such 
types the condition of the patients on admission, their age and 
the duration of the attack, are most important factors. For 
instance, during the past year 5 patients having a recognized 
curable form of mental disease died, because they were in a 
dying condition when committed, several of them living but a 
day or two after reaching the hospital. The great majority of 
insane patients are of the incurable types, and in any given 
year, the more of these there are admitted, the fewer will be 
the recoveries. 

Many of the patients discharged as much improved continued 
to improve after leaving the hospital, some of them going on 
to recovery. It has been the policy of the hospital for years to 
discharge patients as soon as they can get along at home 
comfortably, provided the being at home does not lessen the 
prospects of recovery in curable cases. For this reason we are 
not credited with as many recoveries as we should have if we 
kept the patients longer. 

Sixty-five patients died, — 6.34 per cent, of the whole num- 
ber under treatment, which is about the usual percentage for 
this hospital. 

One hundred and thirty-seven patients were allowed to leave 
the hospital on trial visits. The law limits the length of these 
visits to sixty days, during which period the patient may be 
brought back to the hospital without the necessity of being re- 
committed. This method of dismissal from the hospital has 
proved very beneficial in our experience. Many cases can be 
and are allowed to go on trial, whose final discharge is not ad- 



12 NORTHAMPTON INSANE HOSPITAL. [Oct. 

disable at the time of leaving the hospital. In my opinion, the 
length of the visit which may be allowed is too short. Quite 
frequently patients have been able to remain away from the 
hospital sixty days, but soon after have had to be returned to 
the hospital, which of course necessitates a new commitment. 
I believe it would be wise to extend the length of visit to six 
months. 

The very large increase in the number of patients we have 
had to care for during the past year is due to the operations 
of the law which went into effect Jan. 1, 1904, by which the 
State assumed the care of all the insane, whether in hospitals 
or in almshouses, who, prior to January 1, were chargeable to 
cities and towns. By a further provision of the law, all the 
insane then in almshouses must be transferred as soon as pos- 
sible to the State hospitals. We received 51 patients of that 
class from various almshouses, and not a few besides, quiet and 
harmless but feeble-minded persons who were not in almshouses, 
who in all probability would not have been sent here if the 
towns had still been chargeable for their support. We have 
been informed that about 80 more of this class will be sent to 
us before 1905. 

The coining of these patients to our already too crowded 
wards has entailed discomforts upon themselves and the other 
patients, and has added burdens to a nursing force which was 
already overburdened. 

The effects of their admission will long be shown in our 
annual reports, diminishing our proportion of recoveries and 
increasing our death rate. 

The general health throughout the hospital has been good, 
though there have been many feeble old men and women ad- 
mitted who have needed care in bed. It has been noticeable, 
however, that during the winter months there has been a lower- 
ing of the physical tone and a decrease in the powers of resist- 
ance of many patients, due to the serious overcrowding of the 
wards. 

The training school for nurses continues to be of much value 
to the hospital, and the nurses show increased interest in the 
work and in the hospital. Five nurses were graduated this 
year : Alice E. Bedell, Hannah B. Mann, Katherine R. Maloney, 



1904.] PUBLIC DOCUMENT — No. 21. 13 

Belle McLaurin and Maud L. Wheeler. The term closed with 
graduating exercises. Miss Yale and Mr. Barrus, of the Board 
of Trustees, and Miss Catton, matron of the Springfield City 
Hospital, addressed the graduating class. The presentation 
of diplomas by the superintendent was followed by an evening 
of music and dancing. The hospital is fortunate in retaining 
ten graduates of the school in the service, but a few of these 
expect to leave soon to take up general nursing. 

Dr. Nathan W. Williams of Northampton, dentist, has been 
employed to visit the hospital one day each week to attend to 
the teeth of the patients, and has found plenty of work to be 
done. His work has added much to the appearance and to the 
comfort of a large number of patients. 

Occupation has been found for as many patients as possible 
during the year. As usual, many are kept busy in the different 
departments. The farm and grounds furnish places for a large 
number of men, and the grading and ditching operations always 
in progress about a large institution provide ideal occupation 
for feeble-minded patients. During the past year patients 
have cut down a knoll about 7 feet high, extending over an 
area of 150 feet square, the site of the new infirmary building 
for men, and have excavated for the foundations and basement 
of the same. Thousands of loads of soil were removed in hand 
carts, and were used to grade and fill in low places in the grove 
in front of the hospital. Patients dug a trench for the sewer 
for the same building, 475 feet long ; another trench for the 
steam pipes and for the electric wires for the same building, 
235 feet long ; and still another, 325 feet long, for water pipes 
and for the relocation of the fire hydrant. They also laid a new 
steam pipe for the piggery and barns, 525 feet in length. A 
number of the patients are becoming very efficient helpers to 
the pipe fitters, and one has made himself useful in the tin 
shop. All mechanics, carpenters, painters, plumbers, etc., 
have one or more patients as helpers, who take much interest 
in their work. 

The farm has had a very favorable year, and many of the 
crops are larger than usual. The list of products of the farm 
accompanying this report shows the great variety of vegetables 
raised, the quantities and the market values. It is a very 



14 NORTHAMPTON INSANE HOSPITAL. [Oct. 

profitable department of the hospital. By reason of the large 
quantities of staple products it furnishes, our cost of living is 
kept much lower than it could be otherwise, and man} r vege- 
tables are furnished that we should not feel warranted in pur- 
chasing ; and not the least of its advantages is that it furnishes 
employment of a simple, healthful nature to so many patients. 

The farm could be made still more profitable by the addition 
of a hot-house, and I advise your Board to petition the Legis- 
lature for an appropriation to build one. 

The following important improvements have been made 
during the year : — 

A motor has been installed to operate the laundry machinery. 

Three standpipes for lire protection have been erected in the 
working department, one near each stairway in the rear, so as 
to be easily accessible, each having a fire plug and hose on each 
floor, making ten such stations in all. 

The most important change made in our equipment was the 
substitution of two " Bundy " water heaters for the old heaters, 
seven in number, which were located under the wards, some of 
them more than 500 feet from the boilers. The old heaters 
were operated by high-pressure steam. The two new ones 
located near the engine room are heated by exhaust steam. 
Circulation of water is maintained by a small pump, so that 
the water will not stand in the pipes to cool. The new system 
will be much more economical than the old one. 

An imperative need the coming year will be a larger engine 
and electric generator, to replace the ones installed twelve 
years ago. They were large enough for the institution at that 
time, and seemed likely to answer the hospital's requirements 
for many years to come, but the unlooked-for increase in 
number of patients has put more work upon the engine in 
many ways. The addition of the women's inlirmaiy, with its 
ventilating fan and 150 lights, has overtaxed the engine at 
times, and it will be impossible to do the work when the 
liii'htino: of the new building for the men is added to its load. 

Another very pressing need is the building of a spur track 
from the New York, Xew Haven and Hartford Railroad to our 
grounds. At present, all coal, flour and other heavy supplies 
must be hauled by team, up a steep hill, at great expense and 



1904.] PUBLIC DOCUMENT — No. 21. 15 

labor. A low estimate of the saving in cost of hauling coal 
alone, at prevailing rates, would be $1,000 a year. The greater 
part of the track would be on land owned by the institution, 
but right of way would have to be obtained over two parcels 
of land not belonging to the hospital. 

Next to occupation come amusement and recreation as a 
measure of treatment of the insane. During the summer 
months out-of-door recreations are encouraged, — croquet, 
basket ball, tennis, excursions by electric railways, little 
picnics on our own grounds, attendance at circuses, agricul- 
tural shows and the like. In the winter assemblies are held 
regularly three or four times a week. The nature of these 
may be seen by reference to the following list for the past 
season : October 12, Mr. Wheeler and accompanist, musicale; 
October 19, nurses and patients, play, "Peak Sisters;" 
October 27, Mr. Brignati, legerdemain ; November 9, Mr. 
Pike, phonograph entertainment; November 13, Misses Pratt 
and Booth, musicale ; November 24, Mr. Taggart, songs and 
readings; December 25, Christmas tree; January 13, Mrs. 
Childs, musicale; January 18, nurses and patients, play, " My 
Aunt from California;" February 1, stereopticon lecture; 
February 22, " Washington's birthday " party ; March 1, Miss 
Eastman, with Mt. Holyoke college glee and banjo club; 
March 9, Miss Flood, elocutionist; March 14, stereopticon 
lecture ; March 22, Mr. Eccles, songs and readings ; March 
29, Mr. Reynolds, songs and readings ; April 8, Mr. Norris 
and class, operetta, " Florenda ; " April 23, nurses and patients, 
assisted by Misses Macomber, Graves and Brown, and Mr. 
Fred Brown, musicale and broom drill; September 27, Mr. 
Richards, readings. Besides these there were sixty-nine even- 
ings of readings by some member of the staff, with music by 
the hospital choir, and twenty-five dances, besides numerous 
" parties " on the wards. 

On every Sunday afternoon one of the clergymen of this 
vicinity has conducted religious services in our assembly hall, 
which were regularly attended by an audience numbering about 
425. The following clergymen are entitled to our grateful 
appreciation : Rev. Mr. Bartlett, Rev. Mr. Breaker, Rev. Mr. 
Butler, Rev. Mr. Clancy, Rev. Mr. Cobb, Professor Evans, 



16 NORTHAMPTON INSANE HOSPITAL. [Oct. 

Professor Gilbert, Rev. Mr. Holmes, Rev. Mr. Kent, Rev. 
Mr. Keyser, Professor Lyman, Professor Mensel, Rev. Mr. 
Pomeroy, Rev. Mr. Pierpont, Rev. Mr. Post, Rev. Mr. 
Powell, Rev. Dr. Rose, Rev. Mr. Shattuck, Professor Smith, 
Rev. Mr. Stoops, Professor Tyler, Rev. Mr. Williston and 
Rev. Mr. Woods. 

Many friends of the hospital and of its inmates have con- 
tributed money, articles of various kinds and fruit to make 
life here more pleasant. We make grateful acknowledgment 
to the following persons : Miss Fobes of Springfield, articles 
for the Christmas tree; Mrs. W. T. Parker of Springfield, 
money for articles for Christmas tree ; Mrs. J. L. Egbert of 
Springfield, money for articles for Christmas tree ; Misses 
White of Concord, fifty gifts for Christmas tree; Mr. E. P. 
Avery of Holyoke, money for articles for Christmas tree ; 
Mr. T. Beardsley of Springfield, oranges and confectionery for 
Christmas tree ; Miss Anna Checkley of Riverdale on Hudson, 
gifts for patients ; Mrs. M. E. Gardner of Riverdale on Hudson, 
gifts for patients ; Miss Alice B. Fay of Saxon ville, gifts for 
Christmas tree; Misses Eastman of South Hadley, gifts for 
Christmas tree ; Mrs. Abbott of Northampton, magazines ; Mrs. 
Parsons of Northampton, magazines; Mr. S. E. Bridgman of 
Northampton, magazines and papers; Mrs. F. S. Pomeroy of 
Northampton, magazines and papers ; Mrs. Phillips of North- 
ampton, magazines and music; Miss Rand of Northampton, 
magazines; Miss Austin of Peterboro, N. H., magazines and 
papers and subscription to "Harper's Weekly;" the Men's 
Club of Amherst, magazines. The " Christian Register," 
" Dumb Animals," " Berkshire County Eagle " and " Sunshine 
Journal " have been received regularly and appreciated. 

JOHN A. HOUSTON. 



1904.] PUBLIC DOCUMENT — No. 21. 17 



DIETAEY OF THE NORTHAMPTON 
INSANE HOSPITAL. 



[There are two bills of fare, the first of which is supplied to the tables of about 
three hundred persons, and the second to those of somewhat over three hundred. 
In addition to these, about 190 quarts of egg and milk are taken through the wards 
between meals and at bed time, and distributed to the old, the feeble and the con- 
valescent classes.] 



BILL OF FARE No. 1. 
Breakfast. 

Monday. — Tea, oatmeal, coffe«, broiled beefsteak or eggs, potatoes, warm 

rolls ("biscuit"), bread and butter. 
Tuesday. — Tea, coffee, oatmeal, fried tripe,* potatoes, warm rolls, bread 

and butter. 
Wednesday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes and 

warm brown (rye and Indian) bread. 
Thursday. — Tea, coffee, oatmeal, broiled beefsteak, potatoes, warm rolls, 

bread and butter. 
Friday. — Tea, coffee, oatmeal, fried tripe,* potatoes, warm rolls, bread 

and butter. 
Saturday. — Tea, coffee, oatmeal, either fried fish-balls or liver, meat hash, 

hot corn cake, bread and butter. 
Sunday. — Tea, coffee, oatmeal, eggs, potatoes, warm rolls, bread and butter, 

and fried Indian corn pudding. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable,! bread and butter, 
boiled rice with syrup or sugar. 

Tuesday. — Vegetable soup, roast or stewed veal, % potatoes and one other 
vegetable,! bread and butter, and baked Indian pudding. 

Wednesday. — Either roasted or boiled mutton, potatoes and one other 
vegetable,! bread and butter, and berry or apple pudding, with sauce.§ 

Thursday. — Vegetable soup, corned beef, potatoes and one other vege- 
table,! bread and butter, and boiled suet pudding, with syrup. 

* Tripe is replaced in winter by sausages, and in spring by fried ham and eggs, 
except in the season of shad, when that fish is given once each week instead of ham 
and eggs, and once instead of beefsteak. 

t At least three vegetables during the summer. 

% Substituted in winter by fresh pork ribs, roasted. 

§ In spring, maple syrup is used as sauce for puddings. 



18 NOKTHAMPTON INSANE HOSPITAL. [Oct. 

Friday. — Either fried or baked fresh fish,* or stewed or roasted veal, 
potatoes and one other vegetable,! bread and butter, and tapioca pud- 
ding or raisin pudding of either rice, bread or cracker. 

Saturday. — Baked beans, corned beef, potatoes and one other vegetable,! 
pickles, bread and butter, and baked bread pudding. 

Sunday. — Stewed mutton, sweet potatoes, warmed baked beans, pickles, 
bread and butter and pies, the kind varying with the season. 

Supper. 

Monday. — Tea and bread, warm corn cake and butter, hard gingerbread 
and a relish.J 

Tuesday. — Tea, white bread, graham bread and butter, soft gingerbread 
and a relish in the warm season, substituted by buckwheat cakes in the 
cold season. 

Wednesday. — Tea, bread and butter, pie (the kind varying with the season) 
and ginger snaps and a relish. 

Thursday. — Tea, bread and butter, cookies and cheese. 

Friday. — Tea, bread and butter, cake (the kind varying) and a relish. 

Saturday. — Tea, bread and butter, doughnuts and cheese. 

Sunday. — Tea, bread and butter, cookies and ginger snaps and blanc- 
mange or cornstarch. 

Extra. — In the winter and spring months hulled corn at supper, once in 
two weeks, on Saturdays. 



BILL OF FARE No. 2. 
Breakfast. 

Monday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 
Tuesday. — Coffee, oatmeal, cold roast beef, potatoes, and bread and butter. 
Wednesday. — Coffee, oatmeal, meat stew or boiled eggs, potatoes, and 

warm rye and Indian corn brown bread and butter. 
Thursday. — Coffee, oatmeal, picked codfish cooked in milk, potatoes, and 

bread and butter. 
Friday. — Coffee, oatmeal, cold corned beef or meat stew, potatoes, and 

bread and butter. 
Saturday. — Coffee, oatmeal, hash, either of meat or fish, and bread and 

butter. 
Sunday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable,! boiled hominy 
with molasses and bread. 

* Substituted by stewed oysters in winter and spring, with some kind of roasted 
meat for those who prefer it. 

t At least three vegetables during the summer. 

% This term, used for the want of a better, includes dried beef, berries, baked 
apples, apple sauce and canned fruits, all of which are supplied, and each accord- 
ing to the season. 



1904.] PUBLIC DOCUMENT — No. 21. 19 

Tuesday. — Vegetable soup, potatoes and one other vegetable,* baked 

Indian pudding f and bread. 
Wednesday. — Boiled codfish with drawn-butter sauce, potatoes and one 

other vegetable,* boiled hasty pudding with molasses and bread. 
Thursday. — Vegetable soup, potatoes, cabbage or some other vegetable,* 

boiled rice with molasses J and bread. 
Friday. — Boiled fresh fish with drawn-butter sauce, potatoes, beets or some 

other vegetable,* boiled hasty pudding with molasses and bread. 
Saturday. — Hot baked beans, potatoes, baked Indian or bread pudding, 

pickles and bread. 
Sunday. — Cold corned beef, potatoes, pies (the kind varying with the 

season) and bread. 

Supper. 
Monday. — Tea, bread and butter, and hard gingerbread. 
Tuesday. — Tea, bread and butter, and soft gingerbread. 
Wednesday. — Tea, bread and butter, cake or ginger snaps, and some kind 

of relish. 
Thursday. — Tea, bread and butter, and cookies. 
Friday. — Tea, bread and butter, and soft gingerbread. 
Saturday. — Tea, bread and butter, cake or ginger snaps, sauce. 
Sunday. — Tea, bread and butter, and cookies. 

Extras. 

In the winter and spring months, hulled corn at supper on Saturdays. 

In August and September these tables are furnished at supper with 
either berries, tomatoes or baked apples, as many as five times a week. 

In eight halls, sauce of either fresh or dried apples is furnished four 
times a week for the rest of the year. 

Extras for the Whole Household. 

All persons have roasted turkey at dinner on Thanksgiving Day and on 
Christmas, with vegetables, celery, cranberry sauce, pudding, pie and cider. 

From four to five bushels of green sweet corn in the ear is consumed in 
its season, daily, with the exception of Sunday. 

Strawberries, tomatoes, cucumbers and melons are furnished in liberal 
quantities in their season. 

In the spring, cowslips and dandelions are largely used as greens, and 
horse-radish as a condiment. 

During eight months of the year, apples are distributed, daily, among the 
patients. 

Beef tea, chicken broth, mutton broth, scalded milk, arrow-root gruel, 
oatmeal gruel, milk punch, cracked wheat, oatmeal porridge, dry toast, 
milk toast, toast with dropped egg and boiled eggs, for invalids and all 
who are not able to take the regular fare. 

* At least three vegetables in the summer. 

t All baked puddings for the whole household are made with milk. 

t Maple syrup is furnished, in place of molasses, three or four times in the spring. 



20 



NORTHAMPTON INSANE HOSPITAL. 



[Oct. 



ARTICLES MADE IX SEWING ROOM. 



Aprons, 


880 


Night caps, .... 16 


Aprons with long sleeves, 


4 


Night gowns, 






401 


Bureau covers, 


228 


Napkins, 






84 


Bath robes, . 


2 


Pillow cases, 






1,699 


Binders, 


12 


Pillow ticks, . 






344 


Caps, .... 


262 


Rugs bound, . 






42 


Chemises, 


287 


Sheets, . 






2,515 


Corset covers, 


10 


Skirts, 






140 


Cloth bags, . 


117 


Skirts for infant, 






2 


Curtains, 


414 


Slings, . 






24 


Dresses, 


374 


Shirt waists, . 






8 


Dresses for infant, 


2 


Shirts, . 






586 


Dress skirts, . 


5 


Spreads, 






55 


Drawers, 


250 


Suspenders, pairs, 






32 


Hats trimmed, 


13 


Table cloths, 






130 


Holders, 


150 


Tray cloths, . 






4 


Mattress ticks, 


315 


Towels, 






. 3,093 


Mattress ticks made over, 


56 


Articles repaired, 






19,515 



UPHOLSTERY DONE EST THE YEAR. 



Hair mattresses made, new material, 
Hair mattresses made, new ticks, 
Hair mattresses made, old material, 
Hair pillows made, new material, 
Hair pillows made, new ticks, . 
Hair pillows made, old material, 
Lounges upholstered, . 
Billiard tables covered, 



145 

180 

210 

60 

55 

205 

8 

5 



1904.] 



PUBLIC DOCUMENT — No. 21 



21 



FAEM PRODUCTS. 



Apples, 1,100 barrels, 
Asparagus, 26 bushels, . 
Beef, 21,361 pounds, 
Beets, sugar, 280 bushels, 
Beets, 359 bushels, . 
Beans, string, 308 

bushels, 
Beans. Lima, 92 bushels, 
Beans, dry, 5 bushels, 
Broom corn, 900 pounds, 
Broom corn seed, 65 

bushels, 
Currants, 32 bushels, 
Cabbage, summer, 650 

heads, . 
Cabbage, winter, 2,100 

pounds. 
Cauliflower, 50 heads, 
Carrots, 432 bushels, 
Calves, 28, 

Cucumbers, 173 bushels 
Celery, 41 dozen, . 
Citron, 1,130, . 
Chicken, 1,172 pounds, 
Cider, 1,672 gallons, 
Corn, pop, 2 bushels, 
Corn, green, 335 bushels, 
Corn, shelled, 320 

bushels, 
Corn stalk, 16 tons, 
Dandelions, 8 bushels, . 
Ensilage, 279 tons, . 



$1,375 00 


Eggplant, 100, 


$5 00 


49 00 


Eggs, 682 dozen, . 


191 00 


1,096 09 


Hay, first growth, 307 




84 00 


tons, . 


4,605 00 


179 50 


Hay, second growth, 85 






tons, 


1,275 00 


154 00 


Hay for bedding, 4 tons 


32 00 


92 00 


Hay (Earl & Jewett), 39 




12 50 


tons, 


585 00 


54 00 


Ice, 550 tons, . 


550 00 




Lettuce, 90 bushels, 


90 00 


26 00 


Lumber, 10,430 feet, 


156 45 


61 44 


Melons, water, 7,70C 






pounds, 


114 50 


26 00 


Melons, musk, 2,800 






pounds, 


42 00 


84 00 


Milk, 55,978 gallons, 


11,195 60 


4 00 


Onions, 53 bushels, . 


39 75 


216 00 


Oats, 30 bushels, 


12 00 


235 50 


Oats, 7 tons, . 


70 00 


86 50' 


Oats, straw, 2£ tons, 


14 40 


41 00 


Pigs sold, 407, 


1,341 93 


11 30 


Pears, 29£ bushels, . 


29 50 


234 40 


Potatoes, 2,035 bushels, 


1,322 75 


100 32 


Pigs, roast, 8, . 


18 00 


4 00 


Pease, 119 bushels, . 


119 00 


162 50 


Peppers, h bushel, . 


50 




Parsley, . 


5 00 


192 00 


Pork, 35,866 pounds, 


2,452 23 


64 00 


Posts, 47, . 


7 05 


8 00 


Quince, 1£ bushels,. 


1 50 


976 50 


Rhubarb, 90 bushels, 


67 50 



22 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



Radishes, 200 bunches, . $10 00 

Raspberries, 162 quarts, . 29 16 

Rye straw, 2£ tons, . 40 00 

Rye, 45 bushels, . 27 00 

Sage 3 00 

Squash, summer, 184 

bushels, ... 92 00 
Squash, winter, 13,440 

pounds, . . . 134 40 

Spinach, 132 bushels, . 99 00 

Swiss chard, 127 bushels, 63 50 



Strawberries, 766 quarts,* 


$114 90 


Tomatoes, 156 bushels, . 


117 00 


Turnips, English, 80 




bushels, 


32 00 


Turnips, Swede, 600 




bushels, 


240 00 


Veal, 1,104 pounds, 


137 48 


Wood, 26£ cords, . 


81 25 




$31,192 90 



Live stock belonging to the hospital 

Cows, 

Heifers, .... 
Bulls, . 
Yokes of oxen, 



61 


Horses, . 


32 


Colts, . 


4 


Swine, . 


4 


Fowls, . 



14 

4 
278 

185 



1904.] 



PUBLIC DOCUMENT — No. 21. 



23 



OFFICERS £KD EMPLOYEES. 



[Time employed, Sept. 30, 1904.] 



NAMES. 


Years. 


Months. 


Days. 


John A. Houston, M.D., superintendent, 


15 




7 


Harriet M. Wiley, M.D., assistant physician, 




4 


7 


29 


Charles H. Dean, M.D., assistant physician, . 




4 


4 


21 


Arthur B. Moulton, M.D., assistant physician, 




3 


7 


15 


Grace E. B. Rice, M.D., assistant physician, . 




_ 


10 


27 


Lewis Babbitt, clerk and treasurer, 




12 


11 


18 


George T. Gilbert, engineer, .... 




2 


- 


- 


John Mercier, farmer, ..... 




37 


2 


- 


Ida Porter, matron, 




6 


1 


29 


Robert H. Gallivan, superintendent of nurses, 




31 


5 


12 


Florence A. Bedell, superintendent of nurses, 




4 


9 


5 


Harriet 0. Reed, assistant superintendent of nurses 




4 


5 


25 


Lucy A. Gilbert, clothes marker, . 




36 


8 


17 


George N. Drury, steward, 






7 


- 


- 


Mattie G. Jones, secretary to superintendent 






11 


2 


11 


William J. Moore, assistant steward, 






7 


11 


3 


Herbert W. Root, assistant steward, 






5 


4 


22 


Herbert E. Walker, baker, 






6 


6 


18 


Jay E. Cook, assistant baker, . 






5 


7 


- 


Susan E. Warren, seamstress, 






10 


6 


8 


Edith Metcalf, assistant seamstress, 






4 


3 


18 


Margaret Willard, assistant seamstress, 






- 


11 


1 


Charles E. Williams, laundryman, 






7 


_ 


29 


Mary J. Reihl, laundress, 






1 





4 


Annie Hulett, laundress, 








_ 


7 


12 


Margaret Flynn, laundress, 








- 


2 


25 


Bertha Cannon, laundress, 








_ 


2 


21 


Emma Newton, laundress, 








_ 


8 


3 


Fred Aldrich, nurse, 








5 


5 


1 


Thomas Fickett, nurse, . 










4 


17 


James Lee, nurse, . 










1 


19 


James Campbelle, nurse, 










1 


16 


Gordon Converse, nurse, 










1 


14 


Leslie Dickinson, nurse, . 










1 


7 


Burton Fisk, nurse, 










_ 


6 


Samuel Williams, nurse, 








12 


3 


3 


Robert Pike, nurse, . 








5 


7 


8 


Hormeda Senecal, nurse, 


, 






1 


_ 


9 


Edward Wixom, nurse, . 








_ 


11 


13 


George Metcalf, nurse, . 








_ 


10 


27 


John E. Williams, nurse, 








_ 


10 


23 


Harry W. Love, nurse, . 








- 


9 


21 


C. M. Leland, nurse, 








_ 


7 


26 


David Delong, nurse, 








- 


6 


18 



24 



NORTHAMPTON INSANE HOSPITAL. [Oct, 



NAME; 



Fred Metcalf, nurse, 

Ellis Potter, nurse, . 

Frank Ponthon, nurse, 

Henry F. Cook, nurse, 

Merritt Durham, nurse, 

George Andrews, nurse, 

Charles F. Bates, nurse, 

David J. Anderson, nurse, 

James Howatt, nurse, 

John W. Howe, nurse, 

George O. Brooks, nurse, 

Mary Root, nurse, . 

Maud Amsden, nurse, 

Lucy Howatt, nurse, 

Katherine Malouey, nurse, 

Maud L. Wheeler* nurse, 

Belle MeLaurin, nurse, 

Hannah Mann, nurse, 

Alice Bedell, nurse, 

Winnie A. Martin, nurse, 

Florence M. Hutt, nurse. 

Daisy Colton. nurse, 

Helena Donoghue, nurse 

Mabelle Lee, "nurse, 

Kate Riley, nurse, . 

Laura Gil more, nurse, 

Flora Gil more, nurse, 

Grace Taylor, nurse, 

Annie Donoghue, nurse. 

Sarah I. Kushe, nurse, 

Jennie Hart, nurse, 

Mamie Rushe, nurse, 

Nellie Marcey, nurse, 

Isabel le Barnes, nurse, 

Effie Mahy, nurse, . 

Maggie Rushe, nurse, 

Helen Holiday, nurse, 

Eva Geffkin, nurse, 

Clara La Due, nurse, 

Margretta MacNair, nurse 

B. Frances Milieu, nurse, 

Sophia McDonald, nurse, 

Agnes Canning, nurse, . 

Edna Bennett, usher, 

Harriet Briggs, rear housework, 

Maggie Tobin, cook, 

Rose Post, cook, 

Susie Hilton, employees 1 dining room, 

Gertrude Hilton, centre housework, 

Edith Sargeant, centre housework. 

Glencora Kellogg, dining room, 

Anna Soleski. kitchen girl, 

Bessie Soleski, kitchen girl, . 

Susie Soleski, kitchen girl, 

Leroy McKusick, kitchen helper. 



- 


6 


- 


5 


_ 


5 


- 


5 


- 


5 


- 


5 


- 


8 


- 


8 


- 


1 


_ 


5 


3 


5 


3 


1 


_ 


11 


2 


6 


2 


1 


2 


- 




11 




9 




5 




5 




5 




4 




1 


_ 


10 


_ 


9 


_ 


9 


- 


8 


_ 


8 


- 


6 


4 


2 


- 


6 


- 


4 


- 


2 


_ 


2 


_ 


1 


_ 


1 


- 


1 



1 


3 


3 


1 


1 


11 


_ 


3 


- 


4 


- ■ 


4 


_ 


10 


- 


8 



1904.] 



PUBLIC DOCUMENT — No. 21. 



25 



NAMES. 


Years. 


Months. 


Days. 


Walter D. Newton, assistant engineer, . 


4 


8 


16 


Le Roy'Kellogg, fireman, 






_ 


8 


19 


Eddie Garrow, fireman, . 








- 


4 


19 


George W. Thorniley, florist, . 








11 


5 


11 


Nicholas Reil, gardener, 








27 


8 


8 


Henry Mould, gardener, 








6 


4 


10 


Sifroi Belleville, carpenter, . 








33 


3 


29 


Walter Tower, carpenter, 








25 


8 


- 


Godfrey Willard, carpenter, . 








1 


- 


- 


Alfred Parenteau, painter, 








37 


1 


17 


William Nicholls, painter, 








2 


- 


9 


Thomas P. Clair, plumber, 








6 


5 


1 


George W. Braman, mechanic, 








15 


10 


7 


Roscoe Tobin, mechanic, 








1 


10 


28 


David Mercier, coachman, 








27 


7 


13 


Xaviar Dion, farm laborer, 








11 


3 


16 


Charles Ulrich, farm laborer, 








6 


5 


7 


B. McNamara, farm laborer, . 








6 


5 


8 


Benjamin W. Read, farm laborer, 








4 


11 


- 


Henry Egleston, farm laborer, 








2 


3 


27 


Henry Fuller, farm laborer, . 








3 


7 


2 


Alexander Wylie, farm laborer, 








1 


6 


_ 


W. C. Streeter, herdsman, 








1 


1 


1 


Bernard Kilkenny, mechanic, . 








6 


1 


12 


William A. Burrows, mechanic, 








1 


1 


22 


Charles Closson, farmer, 








- 


10 


10 


Comyre Fuller, farmer, . 








- 


6 


15 


William Richardson, farmer, . 








- 


4 


18 


Bert Young, farmer, 








- 


3 


9 


Joseph Beurbe, farmer, . 








- 


3 


26 


Charles Beurbe, farmer, . 








- 


4 


18 


James Young, farmer, . 








_ 


1 


15 


Edward Lancore, farmer, 








_ 


4 


2 


Nicholas Krajnyak, farmer, . 








- 


3 


1 


George Belleville, carpenter, . 








- 


3 


10 


James Ryan, fireman, 








1 


- 


17 


William S. Brown, watchman, 








1 


7 


— 



26 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



LIST OF PERSONS REGULARLY EMPLOYED 

AT THE NORTHAMPTON INSANE 

HOSPITAL. 



Superintendent and physician, .... per year, $3,000 00 

Assistant physician, " 1,000 00 

Assistant physician, " 1,000 00 

Assistant physician, " 1,000 00 

Assistant physician, " 400 00 

Treasurer and clerk, " 1,800 00 

Engineer, house rent and partial board, . . " 1,100 00 

Farmer, " 780 00 

Florist, without board, " 700 00 

Matron, " 500 00 

Superintendent of nurses, per month, 50 00 

Superintendent of nurses, " 40 00 

Assistant superintendent of nurses, ..." 35 00 

Secretary to the superintendent, ..." 35 00 

Seamstress, " 25 00 

Assistant seamstress, " 18 00 

Assistant seamstress, " 18 00 

Laundryman, " 45 00 

Laundresses (five), " $15 00 to 20 00 

Baker, " 50 00 

Assistant baker, " 35 00 

Steward, with partial board, . 60 00 

Assistant steward, " 50 00 

Assistant steward, " 40 00 

Nurses (men, twenty-eight), .... " 21 00 to 33 00 

Nurses (women, thirty-two), .... " 14 00 to 25 00 

Usher, " 18 00 

House maids (four) " 15 00 to 18 00 

Waitress " 15 00 

Cook " 25 00 



1904.] PUBLIC DOCUMENT — No. 21. 27 

Cook, per month, $20 00 

Kitchen girls (three), " $14 00 to 16 00 

Kitchen man, " 25 00 

Clothes marker, " 25 00 

Painter, " 60 00 

Painter, " 50 00 

Gardeners (two), " 30 00 

Assistant engineer, " 50 00 

Assistant engineer, " 45 00 

Fireman, " 30 00 

Fireman, " 28 00 

Coachman, " 40 00 

Farm laborers (sixteen), " 21 00 to 30 00 

Carpenter, " 60 00 

Carpenter, M 35 00 

Carpenter, per day, 2 00 

Carpenter, " 2 25 

Plumber, per month, 75 00 

Assistant plumber, " 35 00 

Assistant plumber, per day, 1 75 

Mechanic, " 3 00 

Foreman, per month, 50 00 

Watchman, " 30 00 



28 NORTHAMPTON INSANE HOSPITAL. [Oct. 



TREASURER'S REPORT. 



To the Trustees of the Northampton Insane Hospital. 

I herewith submit my annual report on the finances of the 

Northampton Insane Hospital for the year ending Sept. 30, 
1904 : — 

Assets. 

Five hundred and five acres of land, $53,400 00 

Hospital building, 480,000 00 

Women's infirmary, 55,000 00 

Farmhouse, 1,500 00 

Brick house, 1,700 00 

Three dwellings, 2,000 00 

Storehouse, shops and cold storage, 30,000 00 

Two barns, 5,000 00 

Horse stable, 6,000 00 

Cow stable, 12,000 00 

Piggery, 3,000 00 

Lumber house, 850 00 

Cart shed, 400 00 

Pump house, 500 00 

Two ice houses, 300 00 

Fire-proof house for oils and paints, .... . 500 00 

$652,150 00 
Personal Estate. 
Stocks and supplies as per inventory, $98,884 99 

Receipts. 
Cash on hand Oct. 1, 1903 (September receipts, 

due State Treasurer), $1,906 50 

Unexpended balance of maintenance appropri- 
ation and receipts with State Treasurer, . 4,746 78 

$6,653 28 

Received from cities and towns for support of 

patients, $40,074 66 

Received from individuals for support of pa- 
tients, 33,338 54 

Amounts carried forward, .... $73,413 20 86,653 28 



1904.] 



PUBLIC DOCUMENT — No. 21 



29 



Amounts brought forward, . 

Received from individuals, reimbursements, 
Received from farm sales, .... 
Received from miscellaneous sales, . 
Received from interest on bank deposit, . 



$73,413 20 

5,242 91 

1,823 04 

493 90 

161 75 



Appropriation by the Commonwealth for support of State 
patients for calendar year 1904, 

Amount credited through the State Board of Insanity and 
State Board of Gharity, 



Expenditures. 

Expenditures for maintenance 
Salaries, wages and labor, 

Food : — 
Butter, 

Beans, .... 
Bread and crackers, . 
Cereals, rice and meal, 
Cheese, 
Eggs, . 
Flour, . 
Fish, . 
Fruit, . 
Meats, . 
Milk, . 

Molasses and syrup, . 
Sugar, .... 
Tea, coffee and broma, 
Vegetables, 
Sundries, 



Clothing and clothing material : — 
Boots, shoes and rubbers, . 

Clothing, 

Dry goods for clothing, and small wares, 
Furnishing goods, .... 

Hats and caps, 

Sundries 



Furnishings : — 
Beds, bedding, table linen, etc., . 
Brushes, brooms, etc., . 
Carpets, rugs, etc., 
Crockery, glass ware, cutlery, etc. 
Furniture and upholstery, . 
Kitchen furnishings, . 

Amounts carried forward, . 



$6,069 17 

229 98 

822 34 

838 62 

164 48 

5,388 03 

4,520 76 

2,244 75 

1,465 40 

7,711 85 

623 25 

417 22 

2,746 72 

1,055 51 

883 24 

960 09 



$789 


17 


1,858 27 


2,120 26 


10 


13 


82 


35 


19 


23 


$3,871 39 


171 


70 


1,544 33 


496 


71 


159 


16 


488 


78 



$6,653 28 



81,134 80 

113,575 43 

455 93 

$201,819 44 

$47,841 36 



36,141 41 



4,879 41 



$6,732 07 $88,862 18 



30 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



Amounts brought forward, . 

Wooden ware, buckets, pails, etc. 
Sundries, 



Heat, light and power : — 

Coal, 

Gas, 

Oil, 

Sundries, .... 



Repairs and improvements : — 
Cement, lime and plaster, . 
Doors, sashes, etc., .... 
Electrical work and supplies, 

Hardware, 

Lumber, 

Machinery, etc., 

Paints, oil, glass, etc., .... 
Plumbing, steam fitting and supplies, 
Roofing and materials, 
Mechanics and laborers (not on pay roll) 
Sundries, 

Farm, stable and grounds : — 
Blacksmith and supplies, . 
Carriages, wagons and repairs, 
Fertilizers, vines, seeds, etc., 
Hay, grain, etc., . 
Harness and repairs, . 

Cows, 

Other live stock, . 
Labor (not on pay roll), 

Rent, 

Tools, farm machines, etc., 
Sundries, .... 

Miscellaneous : — 
Books, periodicals, etc., 
Chapel services and entertainments, . 
Freight, expressage and transportation, 
Funeral expenses, 
Hose, etc., .... 
Medicines and hospital supplies, 
Medical attendance (extra), 

Postage 

Printing and printing supplies, 
Return of runaways, . 
Soap and laundry supplies, 
Stationery and office supplies, 
Travel and expenses (officials), 

Amounts carried forward, 



$6,732 07 


$88,862 18 


48 47 




40 95 






6,821 49 




$17,714 65 




72 49 




178 95 




436 01 






18,402 10 


$85 35 


84 50 




1,100 97 




1,127 25 




716 81 




814 97 




1,040 36 




2,050 66 




64 85 




392 06 




383 64 






7,861 42 


1344 50 


296 40 




1,604 77 




7,865 82 




280 82 




316 00 




1,390 30 




24 25 




53 00 




324 14 




299 80 






12,799 80 




$206 22 




733 03 




1,006 75 




2 00 




194 04 




1,245 21 




120 00 




337 20 




263 02 




95 04 




1,186 70 




204 66 




553 93 





$6,147 80 $134,746 99 



1904.] PUBLIC DOCUMENT — No. 21. 31 

Amounts brought forward, .... $6,147 80 $134,746 99 

Telephone and telegraph, 284 84 

Tobacco, 318 83 

Water (average price per 1,000 gallons, $0.06), 2,595 13 

Sundries, 1,034 79 



10,381 39 



Total expenditures out of current income, .... $145,128 38 
Unexpended balance of maintenance appropri- 
ations and receipts with State Treasurer, . $54,387 57 
Cash on hand, receipts due State Treasurer, . 2,303 49 

56,691 06 

$201,819 44 
Resources and Liabilities. 

Resources. 

Cash on hand (September receipts, due State 

Treasurer) $2,303 49 

Unexpended balance of maintenance appropria- 
tion and receipts with State Treasurer, . . 54,387 57 

Bills due from individuals for support of 

patients, 11,267 31 

Bills due from soldiers' relief for support of 

patients, 42 71 

Other bills receivable on account of reimburse- 
ments, 3,171 32 



Liabilities. 
Due for salaries, wages and labor, . 
Due for all other current expenses, . 



$4,026 65 
7,878 37 



$71,172 40 



11,905 02 



Balance in favor of the hospital Sept. 30, 1904, . . . $59,267 38 
During the year the average number of patients has been 734. 

Dividing the total expenditure for maintenance 
($145,128.38) by the average number gives 
average annual cost of $197 72 

Equivalent to an average weekly cost of . . 3 78 

Statement of Funds. 
Fred B. Kelly Fund. 

To cash received March 9, 1904, $603 79 

Deposited March 9, 1904, in Northampton Institution for Sav- 
ings 603 79 

LEWIS F. BABBITT, Treasurer. 

We have examined, as auditors, the accounts of the treasurer, and found a satis- 
factory voucher for every entry. 

ALVAN BARRUS. 
HENRY P. FIELD. 



32 



NORTHAMPTON INSANE HOSPITAL. 



[Oct. 



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1904.] 



PUBLIC DOCUMENT — No. 21. 



33 



IX VEX TORY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1904. 



Live stock on farm, ..... 

Produce of farm on hand, .... 

Carriages and agricultural implements, . 

Machinery and mechanical fixtures, . 

Beds and bedding in inmates 1 department, 

Other furniture in inmates 1 department, . 

Personal property of State in superintendent's 

Ready-made clothing, 

Dry goods, . 

Provisions and groceries. 

Drugs and medicines, 

Fuel 

Library, 

Other supplies undistributed, 



department, 



$9,303 


75 


10,740 


37 


3,200 00 


17,750 


00 


16,000 


00 


9,000 


00 


10,000 


00 


1,811 


18 


3,152 


11 


7,640 


tit; 


550 00 


8,098 


10 


1,300 


On 


338 82 


$98,884 


99 



STATISTICAL TABLES 



[Form prescribed by State Board of Insanity] 



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38 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



2. — Insane received on First arid Subsequent Admissions. 



NUMBER OF ADMISSIONS. 



Cases admitted. 



Males. 



Totals. 



First, 

Second, 

Third, 

Fourth, 

Fifth, 

Sixth, 

Seventh, 

Eighth, 

Total cases, 

Total persons, 
Never before in any hospital for insane, 



154 

38 



205 
192 
141 



150 

28 

1 

3 

4 



186 
176 
141 



304 

66 

7 

7 

4 

1 

1 

1 

391 

368 

282 



1904.] 



PUBLIC DOCUMENT — No. 21 



39 



3. — Nativity and Parentage of Insane Persons first admitted to Any 

Hospital. 





Males. 


Females 


Totals. 


PLACES OF NATIVITY. 




V 

■a 

OS 

fa 


,a 
o 


00 

a 
.2 
"3 


to 

V 

"3 

fa 


no 

33 
o 


a 

fa 


03 

fa 




Massachusetts, 


55 


27 


21 


53 


24 


20 


108 


51 


41 


Other New England States, . 


15 


16 


15 


13 


9 


10 


28 


25 


25 


Other States, .... 


11 

81 


7 
50 


12 

48 


6 


8 


6 


17 
153 


15 
91 


18 


Total native, 


72 


41 


36 


84 


Other countries : — 




















Austria, 


3 


3 


3 


1 


1 


1 


4 


4 


4 


Bulgaria, 


1 


1 


1 


- 


- 


- 


1 


1 


1 


Canada, 


18 


15 


15 


18 


19 


20 


31 


34 


35 


England, 


6 


6 


5 


5 


5 


6 


11 


11 


11 


France, 


2 


2 


2 


- 


- 


- 


2 


2 


2 


Germany, .... 


4 


3 


3 


8 


7 


7 


12 


10 


10 


Ireland, 


22 


31 


32 


26 


36 


39 


48 


67 


71 


Italy, 


- 


- 


- 


- 


1 


1 


i 


1 


1 


Poland, 


2 


2 


2 


2 


2 


2 


4 


4 


4 


Russia, 


3 


3 


3 


3 


3 


3 


6 


6 


6 


Scotland, 


3 


3 


5 


3 


4 


5 


6 


7 


10 


Sweden, 


- 


- 


- 


3 


3 


3 


3 


3 


3 


Switzerland, .... 


- 


- 


- 


- 


1 


1 


- 


1 


1 


Total foreign, . 


59 


69 


71 


69 


82 


88 


128 


151 


159 


Unknown, .... 


1 

141 


22 
141 


22 
141 


- 


18 


17 


1 


40 


39 


Totals, . . 


141 


141 


141 


282 

1 


282 


282 



40 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



4. — Residence 


of Insane 


Persons admitted by Commitment. 




First admitted to 
Ant Hospital. 


All 
Other Admissions. 


PLACES. 


w 
m 


a 

9 


5 
o 


CO 

09 

1 


eg 

« 
S 


■r. 

o 


Hampshire County, 








27 


33 


60 


11 


4 


15 


Hampden County, 








68 


69 


137 


21 


16 


37 


Berkshire County, 








33 


29 


62 


7 


7 


14 


Franklin County, 








12 


10 


22 


8 


3 


11 


Worcester County, 








- 


- 


- 


- 


1 


1 


Totals,. 


140 


141 


281 


47 


31 


78 


Unknown, . 








1 


- 


1 


- 


- 


- 


Totals,. 


141 


141 


282 


47 


31 


78 


Cities and towns, 








98 


102 


200 


25 


17 


42 


Country districts, 








43 


39 


82 


22 


14 


36 


Totals,. 


141 


141 


282 


47 


31 


78 



5. — Civil Condition of Insane Persons first admitted to Any 

Hospital. 





Males. 


Females. 


Totals. 


Unmarried, 


58 


60 


118 


Married, 


56 


48 


104 


Widowed, 


23 


33 


56 


Divorced, 


4 


- 


4 


Unknown, 


- 


- 


- 


Totals, 


141 


141 


282 



1904.] 



PUBLIC DOCUMENT — No. 21. 



41 



6. — Occupation oj Insayie Persons first admitted to Any Hospital. 

MALES. 



Artist, . 






1 


Mechanic, . 




1 


Bartenders, . 






5 


Merchant, . 




1 


Blacksmith, 






1 


xM ill wrights, 




2 


Carpenters, . 






5 


Moulder, 




1 


Cigar maker, 






1 


Operatives, . 




20 


Clerk, . 






1 


Printers, 




2 


Clergyman, 






1 


" Magic healer, 11 . 




1 


Conductor, . 






1 


Real estate agent, 




1 


Druggist, 






1 


Salesman, . 




1 


Farmers, 






9 


Shoemakers, 




2 


Farm laborers, 






6 


Steam fitter, 




1 


Gardeners, . 






2 


Stone cutters, 




2 


Harness maker, 






1 


Teamsters, . 




3 


Hostler, 






1 


Watchmen, . 




2 


Insurance agent, 






1 


Whip maker, 




1 


Janitor, 






1 


Wire weaver, 




1 


Laborers, . 






13 

1 


No occupation, . 
Total, . 




41 


Lawyer, 


140 


Locomotive fireman, 




1 
4 


Unknown, . 

Total, . 




1 


Machinists, . 




141 



FEMALES. 



Companion, 


1 


Student, .... 


1 


Domestics, .... 


19 


Teacher, .... 


1 


Housekeepers, . 


9 


Waitress, .... 


1 


Nurses, .... 


2 


No occupation, . 


58 


Operatives, .... 


12 


Total, .... 


105 


Saleswoman, 


1 







42 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



6. — Occupation of Insane Persons first admitted to Any Hospital 
— Concluded. 



WIFE OF 



Baker, . 
Carpenter, . 
Cigar maker, 
Decorator, . 
Farmer, 
Grocer, 
Mason, 
Merchant, . 
Mechanic, . 



Mill overseer, 
Laborer, 
Operative, 
Peddler, 
Physician, 
Salesman, 
Tailor, 
Total, 



36 



1904.] 



PUBLIC DOCUMENT — No. 21. 



•43 



Probable Causes of Mental Disease in Persons first admitted to 
Any Hospital. 













Predisposing Cacsrs. 






HRREDITARY 
TENDENCY. 


NEUROTIC 
TENDKNCT. 


IN- 
TEMPERANCE. 




B 

O 


m 
3 

a 

o 


CO 

3 
o 


3 

S 


00 

at 

a 


"3 
o 


"3 


1 1 


a 

1 


35 

3 

1 


3 
o 


Cerebral hemorrhao 
Cerebral meningitis 
Congenital, 
Drug habits, . 
Epilepsy,. 
Excessive venery, 
Heredity, . 
Heredity and drugs, 
Heredity and injury 
Heredity and inter 

ance, . 
Heredity and menop 
Heredity and puerpe 
Heredity and senilit 
Illness, 

Injury to head, 
Intemperance, . 
Intemperance and c 

ettes, . 
Intemperance and d 
Intemperance and in 
Intemperance and n 

pause, . 
Intemperance and se 
Intemperance and sy 
Menopause, 
Multiple sclerosis, 
Puerperium, . 
Senility, . 
Syphilis, . 
Unknown, 
Committed but no 

mitted, . 


■e, . 

nper- 

ause, 
rium, 

y» • 

i gar- 
rugs, 
ieno- 

nility, 
philis, 

t ad- 


1 

12 
2 
2 
1 

14 

3 

2 

2 

1 

30 

1 
1 
2 

1 
1 

1 

12 

4 

32 

16 


4 
2 

12 

4 

26 

2 

2 
5 
3 
5 

12 

1 
1 

9 

6 
13 

1 
19 

14 


5 
2 

24 
2 
6 
1 

40 
2 

3 
2 
5 
5 
7 
1 
42 

1 
2 
2 

1 
1 
1 
9 
1 
6 

25 
5 

51 

30 


14 

3 
2 

19 


26 
2 

2 
5 
3 

38 


40 
2 

3 
2 
5 
5 

57 


3 

1 

1 

«~ 

4 


2 

3 

1 

1 
1 

1 
1 


- 

5 

_ 
_ 
1 
3 

1 

1 
1 

1 

1 

5 

19 


3 

30 

1 
1 
2 

1 
1 

39 


2 
3 

1 

12 

1 

1 

20 


2 
3 
1 

3 

42 

1 
2 
2 

1 

1 
1 


Totals, . 




141 


141 


282 


9 


10 


59 



44 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



Q 
2 

3 

CO 

a 
o 

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a 
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a 
a 

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a 

< 


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a 

fa 


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CM 

GO 


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to 


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s 

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a s-.^cM<McocoTfiio<x>t^5g 


Totals, 

Unknown, 


Totals, 

Mean known ages, 



1904.] 



PUBLIC DOCUMENT — No. 21. 



45 



9. — Probable Duration of Mental Disease before Admission. 















First admitted to Any 
Hospital. 


PREVIOUS DUuahuih. 










Males. 


Females. 


Totals. 


Congenital, 












14 


18 


32 


Under 1 month, . 












27 


15 


42 


From 1 to 3 months, 












7 


6 


13 


3 to 6 months, 












13 


6 


19 


6 to 12 months, 












8 


15 


23 


1 to 2 years, . 












16 


13 


29 


2 to 5 years, . 












18 


18 


36 


5 to 10 years, . 












7 


11 


18 


10 to 20 years, . 












6 


13 


19 


Over 20 years, . 












3 


8 


11 


Totals, 


119 


123 


242 


Unknown, . 












22 


18 


40 


Totals, 


141 


141 


282 


Average known duration in years, 








3.22 


4.62 


3.92 



46 NORTHAMPTON INSANE HOSPITAL. [Oct, 











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1904.] 



PUBLIC DOCUMENT — No. 21 



47 



OHNNlfl 



I T-KM I -. 



I I I I I I I I I CO I I I I I 



i —i tJ< t* o* t- —< co oo ii r~ <m -* i-ho 



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48 



NORTHAMPTON INSANE HOSPITAL. [Oct. 






"5- 



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1904.] 



, > 




PUBLIC DOCUMENT — Xo. 21. 

1 
•spnoj, iiiiie«iiiiiiiiiT^-<«if-if-iiii 


CO 


•eaiBmaj 


1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 F-lH 1 1 1 1 1 1 1 


c* 


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IIIIICMIIIIIIiIIIIIMIi-hi-HIII 


to 


Involu- 
tion 
Psychosis. 


•spnoj, 


1 1 l-l .^. l-l • 1 i 


c* 


•saiBcaa^ 




CN 


•93IBK 


1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


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ll.ll.IMIII.il. IHI. ...III 


co 


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1 1 1 1 I 1 1 CM 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


« 


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~ 


is 


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>* 


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..!..- ' -'- 


-.-. 


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1 1 ■ 1 1 1 I 1 t 1 i — i llllllllllltl 


** 


Dementia. 


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1 *•« 1 1 1 1 . 1 . . 1 1 1 <-IC« 1 1 1 1 1 »-4 1 . 1 


iO 


•eapauia^ 


1 1 1 1 1 1 1 1 1 1 1 r 1 1 rH 1 | | | 1 | 1 1 1 


~ 


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1- . . . . 1 ^ - « » « 


Tj> 


c - z 


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1 1 1 i—i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


- 


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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


1 


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' ' '- " ' 


- 


a a 

P 


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' •— - 


c^ 


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I 1 1 r- — 1 1 1 1 1 1 1 1 | | 1 1 1 | 1 | | 1 1 


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1 1 I-l 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 I 


~ 


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b = z 
o c <: 

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< — 


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CO 


eaiBtua^ 


1 1 > 1*4 1 1 1 > 1 1 1 1 1 1 1 1 1 1 


- 


•8a|B^ iiiitiiiiiiwtl— iiiiiiiii 


CN 






Bronchial pneumonia, 

Cerebral haemorrhage, 

Cerebritis, 

Cirrhosis of the liver, 

Cystic degeneration of the kidney, . 
Endocarditis 

Epilepsy, 

Exhaustion of chronic brain disease, 
Fatty degeneration of the heart, 

General tuberculosis, 

Hypostatic pneumonia 

Lobar pneumonia, 

Pernicious anaemia, 

Pulmonary tuberculosis, 

Paresis, 

Rupture of coronary artery, .... 

Senility, 

8epticaomla from cystitis, 

Traumatic septicaemia, 

Typhoid fever, 


m 

"a 
o 



49 



50 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



00 
K 

fr- 
•< 
o 
H 

c 
a 

< 


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MU5HNHl6HNHMNHH«<ONHN>-HflONNH 


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NWrtn IN 1 1 1 Ii-ipi I«*IH |N»P«*F<H 1 \ t~ 


< 
5 

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1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 T-4 I 1 I 




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1 


' 


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— 1- 


< 

si 

C z 

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MCII 1 1 IHI 1 1 1 IHI4I II 1 I4nl 1 


as 


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t- 


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1 


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• i • i • • t i i i • i ir* i i i i i 


~ 


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Dementia. 


•SIBIOJ, 


i « i i 1 1-* i i i i i i • i i i i i r i t-H i i i 


- 


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!•— <llif— itllllllllllllli— i|II 


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Ir4||||||||||||||||||| 




** 


MENTAL 
Deficiency. 


•B1BJOJ, 


l i 1 1 1 1 1 l 1 I i-i 1 1 1 1 1 I 1 l 1 1 


1 <N 1 


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ET ^- -*> 
xr-E- 


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1904.] 



PUBLIC DOCUMENT — No. 21. 



51 





O 

a a 




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r- I 


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52 NORTHAMPTON INSANE HOSPITAL. [Oct. 1904. 



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CM 


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B. -Died: — 

Under 1 month, . 

From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, . 

2 to 5 years, . 
5 to 10 years, . 

10 to 20 years, . 
Over 20 years, . 


e3 2 

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13 


Totals, 
Average of known 
cases in months, 



PUBLIC DOCUMENT . 



. No. 21. 



FIFTIETH ANNUAL KEPORT 



THE TRUSTEES 



Northampton Insane Hospital, 



Year ending September 30, 1905. 




BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1906. 



PUBLIC DOCUMENT 



. No. 21. 



FIFTIETH ANNUAL EEPOET 



THE TRUSTEES 



'AA- 



Northampton Insane Hospital, 



Year ending September 30, 1905. 



*; i 




&~ BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1906. 
ft 



ten 

.TON 



Approved by 
The State Board of Publication. 



060, Wl 

r 

3 



CONTEXTS. 



PAGE 

List of Officers, 5 

Report of Trustees, 7 

Report of Superintendent, 10 

Admissions, 10 

Discharges, 11 

Training School, 13 

Employment, Repairs and Improvements, 13 

Religious Services and Entertainments, 15 

Acknowledgments 16 

Dietary, 17 

Articles made in Sewing Room, 20 

Upholstery done in the Year 20 

Farm Products, 21 

Officers and Employees — Time employed, ...... 23 

List of Persons regularly employed in the Hospital, 26 

Report of the Treasurer, 28 

Supplementary Statement relating to Special Appropriations, . 33 

Inventory of Stock and Supplies, 34 

Statistics, 37 



OFFICERS 



NORTHAMPTON INSANE HOSPITAL. 



Trustees. 



F. W. CHAPIN, M.D., . 
WILLIAM D. MacINNES, . 
HENRY P. FIELD, Secretary, 
CHARLES S. SHATTUCK, . 
ALYAN BARRUS, Chairman, 
SARAH A. WOODWORTH, 
CAROLINE A. YALE, . 



Springfield. 

PlTTSFIELD. 

Northampton. 

Hatfield. 

Goshen. 

Chicopee. 

Northampton. 



Resident Officers. 

JOHN A. HOUSTON, M.D., Superintendent. 

HARRIET M. WILEY, M.D., Assistant Physician. 

CHARLES H. DEAN, M.D., Assistant Physician. 

GRACE E. B. RICE, M.D., Assistant Physician. 

EDWARD W. WHITNEY, M.D., Assistant Physician. 

LEWIS F. BABBITT, Clerk. 

SUSAN E. WARREN Matron. 

JOHN MERCIER, Farmer. 

GEORGE T. GILBERT, Engineer. 

Treasurer. 

LEWIS F. BABBITT, Northampton. 

Office at the Hospital. 



Commmxbttalllj ai l|tas53t(nts£tis, 



TRUSTEES' REPORT. 



To His Excellency the Governor of the Commonwealth and the Honorable 

Council. 

The trustees of the Xorthampton Insane Hospital present 
herewith their report of the operations of the hospital for the 
fiscal year ending Sept, 30, 1905, submitting with it the super- 
intendent's report and the financial statement of the treasurer. 

Stated meetings of the Board have been held regularly each 
month, and there have been frequent visits to the hospital by 
individual members of the Board. 

We have always found the different departments in good 
order, and the patients well cared for. The unusually large 
number of admissions and discharges has entailed much extra 
work on officers, nurses and employees, but affairs have pro- 
gressed smoothly. 

Reference is made in the superintendent's report concerning 
the management of affairs and statistics about the patients. 

The treasurer's report shows that the weekly per capita cost 
was $3.57, — 21 cents less than it was last year. 

A great deal of new work and of repairs has been done during 
the year. The men's infirmary, which was in process of con- 
struction at the time of our report last year, has been completed 
within the amount appropriated, by the exercise of close econ- 
omy and by utilizing the resources of the hospital and the help 
of many patients. The result is a building in which we take 
much pride, and which we think will be a credit to the Com- 
monwealth. 



8 NORTHAMPTON INSANE HOSPITAL. [Oct. 

The Legislature of 1905 appropriated $5,500 for the pur- 
chase of land adjoining the hospital property, between Earle 
and Grove streets. We have purchased this land, about seven 
acres in all. This will afford easy access to our coal tracks on 
the New York, New Haven & Hartford Railroad, and we expect 
to ask for an appropriation to extend a spur track from the 
railroad to the hospital buildings over this land, if it shall 
prove feasible and economical. The matter is now under dis- 
cussion with the railroad authorities and with men experienced 
in such matters. 

There are three houses on the land thus purchased, which 
are at present bringing rental to the hospital at the rate of about 
4 per cent, of the cost of the property. 

The Legislature also appropriated $4,000 for the purchase 
of a new engine and electric generator. The old engine has 
been sold and removed, and we hope to have the new one in 
place before long. 

An appropriation for the coming year will be needed for a 
larger water pipe, to replace the main pipe which now serves 
the hospital, which is too small for our present needs. We are 
not prepared to state the amount required for this purpose, 
because we have not yet agreed with the water commissioners 
of Northampton as to the proposed location of the new pipe, 
but we hope to reach an agreement by the time the Legislature 
meets. 

We shall also ask for an appropriation of $2,500 to build a 
fireproof shop for the painters. Their shop at present is in the 
basement under one of the wards, where there is little light and 
room, and where there is considerable danger because of the 
combustible nature of the materials used. 

We agree with the superintendent that the word " insane " 
in the title of the hospital is objectionable and unnecessary, and 
we respectfully ask the Legislature to change the official title 
of the hospital to the Northampton State Hospital. 

Several changes have occurred in our medical staff. Dr. 
Arthur B. Moulton resigned in December, 1904, to enter the 
service of the Pennsylvania Railroad Company. Dr. Edward 
W. Whitney, who was graduated from the Harvard Medical 
School and who had served nearly two years at the Boston City 



1905.] PUBLIC DOCUMENT — No. 21. 9 

Hospital, was appointed to fill the vacancy. He began his 
service here in July, 1905. 

In November Dr. Grace E. B. Bice, who had served one year 
acceptably as medical interne, was appointed to a permanent 
place on the staff. 

In closing our report, we once more express our confidence 
in the administrative officers of the hospital and our satisfaction 
with the management of its affairs. 

P. W. CHAPIN, M.D. 
WILLIAM D. MacINNES. 
HENRY P. FIELD. 
CHAELES S. SHATTUCK. 
ALVAN BABBUS. 
SAEAH A. WOODWORTH. 
CAEOLINE A. YALE. 



10 NORTHAMPTON INSANE HOSPITAL. [Oct. 



SUPERINTEXDEXT'S REPORT. 



To the Trustees of the Northampton Insane Hospital. 

I hereby respectfully submit my report of the operations of 
the hospital for the year ending Sept, 30, 1905. 

On Oct. 1, 1904, there were 752 patients in the hospital; 401 
were admitted during the year, 303 were discharged and 79 
died, leaving 771 at the end of the year. 

The whole number under treatment was 1,153 ; the daily 
average number was 794; the largest number on any one day 
was 847. 

The changes in our population were more numerous this year 
than in any previous year, due to the transfer of 120 patients 
from almshouses to this hospital, and the removal of 145 patients 
from this hospital to other hospitals in this State. 

In comparing the statistical tables accompanying this report 
with similar table of former years, the admission and discharge 
of so many chronic cases should be borne in mind. 

Admissions. 

Of the 401 admissions, 199 were men and 202 were women. 
Three hundred were admitted by commitment, 95 by transfer, 
2 from escape, 1 from visit and 3 by voluntary commitment. 
Two hundred and twenty-six had never before been inmates of 
any hospital for insane, 138 had previously been inmates of 
this hospital and 37 of this and other hospitals. 

Ninety-eight of the persons admitted were born in Massa- 
chusetts, 91 were foreign born and 130 were of foreign parent- 
age. 

Discharges. 

Three hundred and eighty-two patients were dismissed dur- 
ing the year. Of these, 34 were considered recovered at the 
time of leaving the hospital, 34 much improved, 30 improved. 
25 not improved; 79 died and 145 were transferred to other 
institutions, — 97 to the State Colony for Insane at Gardner, 



1905.] PUBLIC DOCUMENT — No. 21. 11 

41 to the Medfield Insane Asylum, 5 to the Massachusetts Hos- 
pital for Epileptics and 2 to the Worcester Insane Asylum. One 
was committed to the School for Eeeble-minded at Waverley 
and 10 were removed from the State, having no settlement here. 
Nine were boarded out by the State Board of Insanity. 

A common way of estimating the good work of a hospital is 
by the number of recoveries, — by the percentage of recoveries 
to the number of admissions, to the number of discharges or to 
the whole number under treatment; but this is fallacious, be- 
cause it does not take into consideration anything except mere 
numbers, not taking into account the nature of the cases admitted 
and under treatment. 

In our admissions of the past year there were no recoverable 
cases among those transferred from the almshouses. We do 
not get recoveries from congenital cases, or from cases of epi- 
lepsy, of paranoia, of general paresis, of senility and of de- 
mentia. More than 300 of the admissions were of these forms 
of mental disease. 

The duration of the insanity before admission and the age 
of the patient affect the prospect of recovery to a marked degree. 
Year after year the table giving the duration of insanity before 
admission of those who recover shows that by far the greater 
number of patients who have recovered have been insane less 
than six months. Of the admissions this year, there were 259 
who had been insane six months or more, and 150 had been 
insane more than five years. Sixty-nine of the persons admitted 
were more than sixty years of age. 

The percentage of deaths to the whole number under treat- 
ment was 6.78, about the average for several years past. Seven 
of these were of the patients who were transferred from alms- 
houses within the year. The principal causes of death were 
senility in 17 cases, cerebral hemorrhage in 10 cases, general 
paresis in 9 cases, endocarditis in 8 cases, carcinoma in 7 cases, 
pulmonary tuberculosis in 5 cases. The average age of those 
who died was sixty years ; 43 who died were over sixty years of 
age, 25 were over seventy years of age, 11 were over eighty 
years of age. 

The average duration of insanity in persons who died was 
nineteen years, and their average length of hospital residence 
was nine years. 



12 NORTHAMPTON INSANE HOSPITAL. [Oct. 

One hundred and thirty patients were allowed to leave the 
hospital on trial visit; of these, all hut 17 were ahle to remain 
away from the hospital. The length of these temporary ab- 
sences, or " visits,'' which a superintendent may allow has been 
sixty clays. In May of this year the Legislature increased their 
length to six months. I believe this will prove of much benefit, 
stated in the report of last year. 

Another important act of the Legislature was the granting 
to the trustees of the State hospitals the privilege of boarding 
patients in suitable families, if they consider it expedient, the 
patients to remain under their supervision, and to be deemed 
inmates of the hospital. This will give much more freedom to 
many patients, and in doubtful cases will give patients an 
opportunity of showing whether they can get along without 
hospital restraint. It will also help them to be partly or wholly 
self-supporting. TVe have boarded out a few under the new 
law. but it was enacted so late in our hospital year, and the 
State Board of Insanitv had previously taken so many away 
to board out. that the number has necessarily been small. It 
does not seem to me that the number of such cases will ever be 
large in any one year, in this hospital, at least, because we have 
always made it a practice to induce the friends of patients who 
would be suitable for boarding out to take them to their own 
homes. Thus the ones here who will be benefited by the law 
are those who do not need hospital care, but who do need some 
supervision, and yet cannot get along well at home. 

Another act passed by this year's Legislature, deserving men- 
tion, extends the privilege of voluntary commitment to insane 
persons who are competent to make application therefor. Here- 
tofore this privilege has been limited to those whose mental 
condition was not such as to make it legal to grant a certificate 
of insanity in their cases. It is not to be expected that many 
patients will avail themselves of this privilege : yet a few insane 
people realize their need of treatment, and it is not unusual for 
me to receive applications for the admission of such patients 
to the hospital. Some persons will come voluntarily, when they 
would consider it a stigma to be committed by order of the 
court. Whatever will tend to remove this feeling of stigma 
attached to treatment in a hospital for the insane will promote 
its usefulness. In this connection I siio-o- e st that, inasmuch as 



1905.] PUBLIC DOCUMENT — No. 21. 13 

there lias always been a great dislike by patients and their 
relatives and friends to the term " insane," as applied to State 
hospitals, and because the word serves no useful purpose in the 
title of the hospital, your Board request the Legislature to 
change the name of this hospital to the Northampton State 
Hospital. 

Training School. 

The work of the training school has continued throughout the 
year without interruption. There were one hundred and twenty 
recitations and demonstrations, and forty-eight lectures. Three 
of the graduates of last year took a post-graduate course of 
lectures throughout the year. Three nurses were graduated: 
Daisy R. Colton, Florence M. Hutt and Winnie A. Martin. 
There are thirty nurses in the classes for the coming year. 
Arrangements have been made to give a course of lessons in 
cooking for invalids, one lesson each week for sixteen weeks, 
conducted by Miss Baer ef the Home Culture Clubs of North- 
ampton. 

Employment, Repairs and Improvements. 

Patients have been occupied as usual on the farm, in the 
shops, with the mechanics, in the laundry, kitchen, bakery, 
sewing room and other departments. It is our endeavor to have 
some occupation for every patient who is able to work. 

We have been very busy throughout the year with repairs 
and improvements. The most important piece of work has 
been the completion of the infirmary for men, which was occu- 
pied the last of September by forty patients and several nurses. 
The building will be ready for its full complement of patients 
and nurses before November. The wards and rooms of this 
building are very bright and cheerful, and the building is found 
to be admirably adapted to the care of the sick and infirm. 

The house at the entrance of the hospital grounds, occupied 
by our head farmer, has been clapboarded and painted and a 
new furnace put in. 

A small addition to the main barn has been built, of brick 
to the height of the main floor level, and of wood above. Below 
is an entrance to the lower floor of the barn, and above is an 
office for the head farmer. 

New sidewalks of Portland cement have been built in front 
of the main building by our own employees and patients, and 



14 NORTHAMPTON INSANE HOSPITAL. [Oct. 

many square yards of flooring of the same material have been 
laid in the basement corridors leading to the infirmary wards 
for men and women. An asphalt walk has been laid in front 
of the cold-storage building and to the horse stable. The arches 
over the new coal bunkers constructed last year have been cov- 
ered with asphalt, and the main sidewalk in front of the hos- 
pital was repaired. Sewers, one thousand feet in all, to carry 
away the roof water from the men's infirmary, were laid, also 
an underground line of electric wires for the same building. A 
new line of water pipe was laid to the farmers' ward, and a 
standpipe was erected inside, with two stations supplied with 
fire hose. A new line of water pipe two hundred feet long was 
extended to the cow barns. 

Three fire hydrants in front of the hospital were relocated, 
to place them in positions more favorable for the protection of 
the new buildings at each end of the hospital. One of these 
hydrants is fitted with a connection for a steam fire engine. In 
the rear an additional hydrant was located at the north-west 
corner of the group of buildings, affording protection to the 
back side of the men's infirmary. A new line of pipe was laid 
connecting the line supplied by our steam pump with the line 
of pipe supplying the hydrant in the rear near the engine room 
and the one at the barns, so that now all hydrants around the 
building can be operated either by the pressure of the city 
system or by our fire pump. 

The digging of the trenches for all the above-mentioned 
changes has been done by patients. In all, eighteen hundred 
linear feet were excavated. 

Two fire-escapes were erected, one at the west end of the 
third halls on the north wing, and one at the west end of the 
dormitory for women employees. 

A plan of the hospital, with all its additions of recent years, 
has been made, in which is laid out in different colored inks all 
the underground systems of water pipes, fire lines, sewers, pipes 
for surface and roof water, steam pipes and returns, and electric 
wires. This plan is drawn to scale, so that it will be very easy 
to locate any part of the various systems, gates, branches, junc- 
tions, etc. 

The steam returns from the heating stacks of the first and 



1905.] PUBLIC DOCUMENT — No. 21. 15 

second halls north and south have been changed. Instead of 
running underground, they are now laid in the air duct formerly 
used for ventilation. This affords easy access to them, and by 
the separation of them from the returns from the third halls 
better circulation of steam will be established in all the heating 
stacks. 

A new system of telephones has been installed, which has 
given great satisfaction. There are fifty stations, each one of 
which is arranged to connect with several others most com- 
monly needed, varying from four to twenty, independently of 
the central station. 

A new engine lathe was put into the pipe shop, and an 
electric motor was installed to operate the lathe and pipe-cutting 
machinery. We now have seven electric motors in operation, 
which have enabled us to dispense with much shafting and 
belting and much unnecessary running of machinery. 

In the carpenter's shop several hundred window screens, 
thirty tables and many other articles have been made, besides 
the repairing of many broken pieces of furniture. Much of 
this repair work has been done by patients. 

All the tin ware in use has been made here, most of it by 
patients, and all the galvanized-iron work in connection with 
the heating and ventilating of the new building for men. 

Besides these, there have been many repairs of minor im- 
portance not necessary to name. 

Religious Services and Entertainments. 

There has been preaching on each Lord's Day by some one 
of the clergymen of this vicinity, to whom we extend our thanks 
for their ' kindness. 

There have been one hundred and sixty-one assemblies of 
patients for amusement and instruction as follows : October 13, 
training school graduating exercises; November 2, violin and 
song recital, Misses Jones, Adams, Steele and Mr. Steele; 
November 7, songs and readings, Mr. Taggart; November 15. 
readings, Miss Baillie; November 18, amateur theatricals, " The 
Reprobates," Canoe Club of Hatfield; November 26, readings, 
from "David Harurn," Mr. Howell; December 13, musicale, 
Mr. and Mrs. Wheeler; December 19, musicale, by patients and 



16 NORTHAMPTON INSANE HOSPITAL. [Oct. 

nurses; December 26, Christmas tree; January 3, readings, 
Mrs. Smith and Miss Barrus; January 23, legerdemain, Mr. 
Martin; February 22, " Washington's Birthday" party; March 
13, phonograph concert, Mr. Ellsworth; April 5, moving pic- 
tures, Mr. Hamilton; April 18, songs and readings, Mr. Rey- 
nolds ; April 21, Amherst College Glee and Banjo Club ; April 
26, amateur theatricals, " Men, Maids and Matchmakers," Guild 
of Unity Church of Amherst; April 29, readings, Miss Harvey; 
May 31, whist party ; July 4, fireworks ; September 9, readings, 
Mrs. Smith and Miss Barrus; September 25, phonograph con- 
cert, Mr. Ellsworth. In addition to these, there have been fifty- 
six evenings of readings by some member of the staff, with 
music by the hospital choir, and twenty-five dances and eight 
stereopticon lectures. 

Acknowledgments. 
Many friends of the hospital continue to remember us in 
various ways and by various gifts. Their kindness is always 
very thankfully appreciated. During the past year we have 
received gifts from the following persons: fruit, candy and 
Christmas tree trimmings, from Mr. A. R. Thatcher of Hayden- 
ville; presents for Christmas tree, and fruit, from Mr. T. 
Beardsley of Springfield ; presents for the Christmas tree, from 
the Misses Eastman of South Hadley; money for Christmas, 
from Mrs. W. T. Parker of Springfield; money for Christmas, 
from Mrs. J. L. Egbert of Springfield; money, from Mrs. 
Patrick Quinn of Northampton; magazines and papers, from 
Mr. F. S. Pomeroy of Northampton; magazines, from Mrs. L. 
D. James of Williamsburg; magazines and papers, from Mr. 
S. E. Bridgman of Northampton ; magazines, from Mr. Thomas 
B. Ewings of Northampton; magazines and papers, from Mr. 
A. R. Thatcher of Haydenville; magazines and papers, from 
the teachers of Clarke School for the Deaf, Northampton; 
papers and magazines, and subscription to " Harper's Weekly," 
from Miss Austin of Peterboro, N. H. ; the " Christian Regis- 
ter," " Dumb Animals " and " Berkshire County Eagle " have 
been received regularly and much enjoyed. 

JOHN A. HOUSTON. 



1905.] PUBLIC DOCUMENT — Xo. 21. 17 



DIETARY OF THE XORTHAMPTOX 
IXSAXE HOSPITAL. 



[There are two bills of fare, the first of which is supplied to the tables of about 
three hundred persons, and the second to those of somewhat over three hundred. 
In addition to these, about 190 quarts of egg and milk are taken through the wards 
between meals and at bed time, and distributed to the old, the feeble and the con- 
valescent classes.! 



BILL OF FARE No. 1. 
Breakfast. 

Monday. — Tea, oatmeal, coffee, broiled beefsteak or eggs, potatoes, warm 

rolls (" biscuit"), bread and butter. 
Tuesday. — Tea, coffee, oatmeal, fried tripe,* potatoes, warm rolls, bread 

and butter. 
Wednesday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes and 

warm brown (rye and Indian) bread. 
Thursday. — Tea, coffee, oatmeal, broiled beefsteak, potatoes, warm rolls, 

bread and butter. 
Friday. — Tea, coffee, oatmeal, fried tripe,* potatoes, warm rolls, bread 

and butter. 
Saturday. — Tea, coffee, oatmeal, either fried fish-balls or liver, meat hash, 

hot corn cake, bread and butter. 
Sunday — Tea, coffee, oatmeal, eggs, potatoes, warm rolls, bread and butter 

and fried Indian corn pudding. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable,! bread and butter, 
boiled rice with syrup or sugar. 

Tuesday. — Vegetable soup, roast or stewed veal,:}: potatoes and one other 
vegetable,! bread and butter, and baked Indian pudding. 

Wednesday. — Either roasted or boiled mutton, potatoes and one other 
vegetable,! bread and butter, and berry or apple pudding, with sauce. § 

Thursday. — Vegetable soup, corned beef, potatoes and one other vege- 
table,! bread and butter, and boiled suet pudding, with syrup. 

* Tripe is replaced in winter by sausages, and in spring by fried ham and eggs, 
except in the season of shad, when that fish is given once each week instead of ham 
and eggs, and once instead of beefsteak. 

t At least three vegetables during the summer. 

% Substituted in winter by fresh pork ribs, roasted. 

\ In spring, maple syrup is used as sauce for puddings. 



18 NORTHAMPTON INSANE HOSPITAL. [Oct. 

Friday. — Either fried or baked fresh fish,* or stewed or roasted veal, 
potatoes and one other vegetable,! bread and butter, and tapioca pud- 
ding or raisin pudding of either rice, bread or cracker. 

Saturday. — Baked beans, corned beef, potatoes and one other vegetable,! 
pickles, bread and butter, and baked bread pudding. 

Sunday. — Stewed muttoh, sweet potatoes, warmed baked beans, pickles, 
bread and butter and pies, the kind varying with the season. 

Suppek. 

Monday. — Tea and bread, warm corn cake and butter, hard gingerbread 
and a relish.J 

Tuesday. — Tea, white bread, graham bread and butter, soft gingerbread 
and a relish in the warm season, substituted by buckwheat cakes in the 
cold season. 

Wednesday. — Tea, bread and butter, pie (the kind varying with the season) 
and ginger snaps and a relish. 

Thursday. — Tea, bread and butter, cookies and cheese. 

Friday. — Tea, bread and butter, cake (the kind varying) and a relish. 

Saturday. — Tea, bread and butter, doughnuts and cheese. 

Sunday. — Tea, bread and butter, cookies and ginger snaps and blanc- 
mange or corn starch. 

Extra. — In the winter and spring months hulled corn at supper, once in 
two weeks, on Saturdays. 



BILL OF FARE No. 2. 
Breakfast. 

Monday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 
Tuesday. — Coffee, oatmeal, cold roast beef, potatoes, and bread and butter. 
Wednesday. — Coffee, oatmeal, meat stew or boiled eggs, potatoes, and 

warm rye and Indian corn brown bread and butter. 
Thursday. — Coffee, oatmeal, picked codfish cooked in milk, potatoes, and 

bread and butter. 
Friday. — Coffee, oatmeal, cold corned beef or meat stew, potatoes, and 

bread and butter. 
Saturday. — Coffee, oatmeal, hash, either of meat or fish, and bread and 

butter 
Sunday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable,! boiled hominy 
with molasses and bread. 

* Substituted by stewed oysters in winter and spring, with some kind of roasted 
meat for those who prefer it. 

t At least three vegetables during the summer. 

X This term, used for the want of a better, includes dried beef, berries, baked 
apples, apple sauce and canned fruits, all of which are supplied, and each accord- 
ing to the season. 



1905.] PUBLIC DOCUMENT — Xo. 21. 19 

Tuesday. — Vegetable soup, potatoes and one other vegetable,* baked 

Indian pudding f and bread. 
Wednesday. — Boiled codfish with drawn-butter sauce, potatoes and one 

other vegetable,* boiled hasty pudding with molasses and bFead. 
Thursday, — Vegetable soup, potatoes, cabbage or some other vegetable,* 

boiled rice with molasses % and bread. 
Friday. — Boiled fresh fish with drawn-butter sauce, potatoes, beets or some 

other vegetable,* boiled hasty pudding with molasses and bread. 
Saturday. — Hot baked beans, potatoes, baked Indian or bread pudding, 

pickles and bread. 
Sunday. — Cold corned beef, potatoes, pies (the kind varying with the 

season) and bread. 

Supper. 
Monday. — Tea, bread and butter, and hard gingerbread. 
Tuesday. — Tea, bread and butter, and soft gingerbread. 
Wednesday. — Tea, bread and butter, cake or ginger snaj>s, and some kind 

of relish. 
Thursday. — Tea, bread and butter, and cookies. 
Friday. — Tea, bread and butter, and soft gingerbread. 
Saturday. — Tea, bread and butter, cake or ginger snaps, sauce. 
Sunday. — Tea, bread and butter, and cookies. 

Extras. 

In the winter and spring months, hulled corn at supper on Saturdays. 

In August and September these tables are furnished at supper with 
either berries, tomatoes or baked apples, as many as five times a week. 

In eight halls, sauce of either fresh or dried apples is furnished four 
times a week for the rest of the 3~ear. 

Extras for the Whole Household. 

All persons have roasted turkey at dinner on Thanksgiving Day and on 
Christmas, with vegetables, celery, cranberry sauce, pudding, pie and cider. 

From four to five bushels of green sweet corn in the ear is consumed in 
its season, daily, with the exception of Sunday. 

Strawberries, tomatoes, cucumbers and melons are furnished in liberal 
quantities in their season. 

In the spring, cowslips and dandelions are largely used as greens, and 
horse-radish as a condiment. 

During eight months of the year, apples are distributed, daily, among the 
patients. 

Beef tea, chicken broth, mutton broth, scalded milk, arrow-root gruel, 
oatmeal gruel, milk punch, cracked wheat, oatmeal porridge, dry toast, 
milk toast, toast with dropped egg and boiled eggs, for invalids and all 
who are not able to take the regular fare. 

* At least three vegetables in the summer. 

f All baked puddings for the whole household are made with milk. 

t Maple syrup is furnished, in place of molasses, three or four times in the spring. 



20 



NORTHAMPTON INSANE HOSPITAL. 



[Oct, 



AKTICLES MADE IN SEWIXG ROOM. 



Aprons, .... 


460 


Night gowns, . 






629 


Aprons with long sleeves, 


3 


Nightingales, . 

DO 1 






8 


Bureau covers, 


103 


Napkins, 






72 


Caps, .... 


378 


Ox blankets, . 






2 


Cloth bags, 


146 


Pillow cases, . 






784 


Chapel dresses, 


16 


Pillow ticks, . 






200 


Chemises, 


166 


Screens, . 






24 


Corset covers, 


23 


Sheets, . 






154 


Covers for flowerbeds, . 


2 


Shirts, . 






804 


Curtains, 


68 


Shirt waists, , 






13 


Curtains, sash, 


16 


Skirts, . 






231 


Cushion covers, 


12 


Skirts made over, 






3 


Dresses, .... 


224 


Slings, . 






24 


Drawers, 


322 


Stand covers, . 






70 


Jumpers, 


4 


Table cloths, . 






53 


Mattress ticks, 


255 


Towels, . 






2,062 


Night caps, 


48 





UPHOLSTERY DONE IN THE YEAR. 



Hair mattresses made, new material, 
Hair mattresses made, new ticks, . 
Hair mattresses made, old material, 
Hair pillows made, new material, 
Hair pillows made, new ticks, 
Hair pillows made, old material, . 
Lounges upholstered, . 



134 
197 
167 

87 

64 

78 

6 



1905.] 



PUBLIC DOCUMENT — Xo. 21 



21 



FARM PRODUCTS. 



Apples, 329 barrels, 
Asparagus, 42 bushels, 
Beef, 4,315 pounds, 
Beets, sugar, 340 bushels 
Beets, 238 bushels, . 
Beans, string, 12G bushels 
Beans, Lima, 240 bushels 
Broom corn, 1,400 

bushels, 
Broom corn seed, 70 

bushels, 
Currants, 17£ bushels, 
Cabbage, summer, 96 

heads, . 
Cabbage, winter, 3,930 

pounds, 
Cauliflower, 120 heads, 
Carrots, 760 bushels, 
Calves, 15, 
Cucumbers, 
Celery, 42 dozen, . 
Citron, 1,900 pounds, 
Chicken, 779 pounds, 
Cider, 1,120 gallons, 
Corn, pop, 6 bushels, 
Corn, green, 310 bushels 
Corn, shelled, 350 bushels 
Corn stalk, 8 bushels, 
Ensilage, 300 tons, . 
Eggplant, 125, 
Eggs, 487 dozen, 
Grapes, 5 barrels, . 



$652 50 


96 00 


193 64 


102 00 


119 00 


23 00 


240 00 


84 00 


42 00 


35 00 


38 40 


157 20 


9 60 


304 00 


179 50 


66 00 


42 00 


9 50 


151 88 


112 00 


12 00 


115 00 


210 00 


40 00 


10 50 


6 25 


136 12 


12 50 



Hay, first growth, 245 




tons, . 


$3,430 00 


Hay, second growth, 90 




tons, 


1,080 00 


Hay for bedding, 4£ tons, 


36 00 


Hay (Earle & Jewett) , 35 




tons, 


490 00 


Ice, 600 tons, . 


619 70 


Lettuce, 105 bushels, 


105 00 


Lumber, 9,000 feet, 


135 00 


Melons, water, 10,0 




pounds, 


100 00 


Milk, 235,560 quarts, 


11,778 00 


Onions, 500 bushels, 


275 00 


Pigs sold, 389, 


1,391 06 


Pears, 8£ bushels, . 


17 00 


Plums, 2£ bushels, . 


2 50 


Potatoes, 916 bushels, 


641 20 


Pigs, roast, 10, 


20 00 


Pease, 98 bushels, . 


98 00 


Peppers, 2£ bushels, 


2 50 


Parsley, 8 bushels, . 


8 00 


Parsnips, 60 bushels, 


36 00 


Pork, 28,196 pounds, 


1,975 13 


Posts, 130, 


26 00 


Quince, 12 bushels, 


12 00 


Rhubarb, 88 bushels, 


66 00 


Radishes, 270 bunches, 


13 50 


Raspberries, 54 quarts, 


6 48 


Rye straw, 4£ tons, 


63 00 


Rent, 


90 75 


Sage, 5 bushels, 


5 00 



22 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



Squash, summer, 14 8 

bushels, 
Squash, winter, 28,000 

pounds, 
Spinach, 100 bushels, 
Swiss chard, 290 bushels, 
Strawberries, 1,060 

quarts, .... 
Sand, , 
Tomatoes, 308 bushels, . 





Turnips, English, 


230 




$74 00 


bushels, 




$69 00 




Turnips, Swede, 


300 




280 00 


bushels, 




240 00 


75 00 


Veal, 743 pounds, . 




94 16 


145 00 


Wood, 15 cords, 


. 


45 00 




Miscellaneous, 




35 57 


106 00 
55 35 












$28,519 99 


279 00 









Live stock belonging to the hospital 
Cows, 
Heifers, . 
Bulls, 

Yokes of oxen,. 
Steers, 



. 74 


Horses, 


. 52 


Colts, 


5 


Swine, 


. 10 


Fowls, 


7 





15 

2 

230 

250 



1905.] 



PUBLIC DOCUMENT — Xo. 21. 



23 



OFFICEKS AKD EMPLOYEES. 



[Time employed, Sept. 30, 1905/ 



NAMES 


Years. 


Months. 


Days. 


John A. Houston, M.D., superintendent, . 


16 




7 


Harriet M. Wiley, M.D., assistant physician, . 


5 


7 


29 


Charles H. Dean, M.D., assistant physician, 


5 


4 


21 


Edward W. Whitney, M.D., assistant physician, 


- 


2 


11 


Grace E. B. Rice, M.D., assistant physician, 


1 


10 


27 


Lewis F. Babbitt, clerk and treasurer, 


13 


11 


18 


George T. Gilbert, engineer, .... 


3 


- 


- 


John Mercier, farmer, 


38 


2 


- 


Susan E Warren, matron, .... 


11 


6 


8 


Robert H. Gallivan, superintendent of nurses, . 


32 


5 


12 


Florence A. Bedell, superintendent of nurses, . 


5 


9 


5 


Hattie 0. Read, assistant superintendent of 








nurses, ........ 


5 


5 


25 


Lucy A. Gilbert, clothes marker, 


37 


8 


17 


George N. Drury, steward, .... 


8 


- 


- 


Mattie G. Jones, secretary to superintendent, . 


12 


2 


11 


Mary A. Murren, stenographer, 


- 


9 


- 


William J. Moore, assistant steward, 


8 


11 


3 


Herbert W. Root, assistant steward, 


6 


4 


22 


Herbert E. Walker, baker, .... 


7 


6 


18 


J. E Cook, assistant baker, .... 


6 


7 


- 


Susie A. Hilton, seamstress, .... 


1 


4 


2 


Margaret Tobin, assistant seamstress, 


2 


3 


19 


Maud Badmone, assistant seamstress, 


- 


2 


- 


Charles E. Williams, laundryman, . 


8 


- 


29 


Margaret Sweeney, laundress, .... 


- 


7 


27 


Lillian Ellsworth, laundress, 


. . 


- 


9 


11 


Nellie Kentfield, laundress, 




- 


8 


29 


Marie Lester, laundress, . 


. . . 


_ 


4 


13 


Fred Aldrich, nurse, . 




6 


5 


1 


James Lee, nurse, 


• • . 


2 


1 


19 


Burton G. Fiske, nurse, 




2 


_ 


6 


James Campbelle, nurse, . 




9 


1 


16 


Hormeda Senecal, nurse, . 




2 


- 


9 


Edward Wixom, nurse, 


. . • 


1 


11 


13 


John W. Howe, nurse, 




1 


- 


25 


Charles H. Rathburn, nurse, 


■ . . 


- 


10 


- 


Arthur W. Clark, nurse, . 


. . . 


- 


10 


14 


Edward McConville, nurse, 


. . 


- 


7 


27 


Henry W. Adams, nurse, . 




- 


4 


24 


Bartholomew Barter, nurse, 




- 


4 


28 


Alexander Beaton, nurse, . 


. • • • 


- 


4 


17 


Lorenzo J. Wile, nurse, 


• . • 


- 


2 


20 


Blair H. Bishop, nurse, 


. 


- 


2 


20 



24 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



Orrin B Blodgett, nurse, . 

George I). Mallison, nurse, 

Harold McNeal, nurse, 

George W Steves, nurse 

Henry Badraone, nurse, 

Ewen Rankin, nurse, . 

LeonMangue, nurse, 

Clarence N. Hibbard, nurse 

Raymond Ormsby, nurse, 

Fred R. Noyes, nurse, 

Henry R. Noyes, nurse, 

Belle McLaurin, nurse, 

Alice E. Bedell, nurse, 

Winnie A. Martin, nurse, 

Florence Hutt, nurse, 

Daisy Col ton, nurse, . 

Mabel le Lee, nurse, . 

Kate Riley, nurse, 

Jennie Hart, nurse, . 

Maggie Rushe, nurse, 

Mamie Rushe, nurse, . 

Nellie E. Marcey, nurse, 

Effie Mahy, nurse, 

Clara La Due, nurse, . 

Mad el en a Rice, nurse, 

Elizabeth O'Brien, nurse, 

Elizabeth Graham, nurse, 

Jennie S. Jones, nurse, 

Emily A. Steward, nurse. 

Bessie M. Lane, nurse, 

Margaret Smith, nurse, 

Sadie Brown, nurse, . 

Lillian Brown, nurse, 

Elida Hervieux, nurse, 

Margaret Sullivan, nurse, 

Alma Colwell, nurse, 

Ava R. Allyn, nurse, . 

Corinne Blodgett, nurse, 

Eulalie Lamb, nurse, . 

Jeanette Tuxbury, nurse, 

Helen Murray, nurse, 

Mattie Taylor, nurse, 

Edith A. Bliss, nurse, 

Nina D. Knowlton, nurse, 

Margaret G. Beardsworth, usher, 

Harriet Briggs, rear housework, 

Margaret McCarthy, cook, 

Edna Bennett, cook, . 

Mary Won son, cook, . 

Jennie S. Blabom, employees 1 dinin 

Gertrude Hilton, dining room, 

Edith Ryan, centre housework, 

Antola Rogaleski, kitchen girl, 

Annie Shonsars, kitchen girl, 

Mary Sullivan, kitchen girl, 



g room 



Years. 


Months. 




2 


- 


1 


_ 


1 


- 


1 


~ 


1 


- 


1 


3 


6 


2 


9 


2 


5 


2 


5 


2 


5 


2 


1 




10 


5 


2 




1 




6 




4 




2 


_ 


11 


_ 


10 


_ 


10 


_ 


10 


_ 


10 


_ 


8 


_ 


8 


_ 


7 


_ 


7 


_ 


6 


- 


6 


- 


4 


_ 


5 


_ 


3 


_ 


2 


- 


2 


_ 


1 


- 


1 


- 


2 


4 


1 


_ 


10 


2 


3 


_ 


3 


_ 


2 


1 


4 


1 


10 


_ 


5 


- 


3 


" 


— 



1905.] 



PUBLIC DOCUMENT — No. 21. 



25 



NAMES. 



Walter D. Newton, assistant engineer, 
Leroy Kellogg, fireman, . 
Ellis A. Potter, fireman, . 
George W. Thorniley, florist, 
Sifroi Belleville, carpenter, 
Albert De Grandpre, carpenter 
Walter Tower, carpenter, . 
Victor Rochelean, carpenter, 
Alfred Parenteau, painter, 
William S. Nicholls, painter, 
Thomas P. Clair, plumber, 
Roscoe Tobin, mechanic, . 
James Ryan, fireman, 
Martin Sornborger, mechanic, 
Bernard Kilkenny, mechanic, 
David Mercier, coachman, 
Xavier Dion, farm laborer, 
B. McNamara, farm laborer, 
Benjamin W. Read, farm laborer, 
Henry Egleston, farm laborer, 
Henry Fuller, farm laborer, 
Alex Wylie, farm laborer, 
Comrye Fuller, farm laborer, 
Joseph Young, farm laborer, 
Joseph Berube, farm laborer, 
Nicholas Krajnjak, farm laborer, 
Tom Drozdial, farm laborer, 
James Dinan, farm laborer, 
Hugo Xorman, farm laborer, 
Edgar Styles, farm laborer, 
Walter C. Streeter, herdsman, 
Harry W. Love, watchman, 
Sherman L. Brazier, nurse, 
Frank W. Chase, nurse, 
William R. Kirke, nurse, . 
Hannah Bolliver, nurse, . 
Marie Bolliver, nurse, 
Mary Sullivan, kitchen girl, 
Leroy McKusick, kitchen helper, 
Glencora Kellogg, dining room, 
Joseph C. Tennant, nurse, 
Mollie A. Greene, nurse, . 
John DafiSnee, nurse, 
Bertha Pease, nurse, . 
Bessie Shook, nurse, . 
Percy F. Williams, gardener, 



5 

1 

1 

12 

34 

26 
1 

38 
3 
7 
2 
2 
1 
7 

28 

12 
7 
5 
3 
4 
2 
1 

1 

1 



8 
8 
5 
5 
3 
8 
8 
1 
1 

5 

10 

10 
1 
7 
3 
5 

11 
3 
7 



6 

3 
3 

K) 
4 
4 
2 
1 
9 



26 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



LIST OF PERSONS REGULARLY EMPLOYED 

AT THE NORTHAMPTON INSANE 

HOSPITAL. 



Superintendent and physician, 

Assistant physician, . 

Assistant physician, . 

Assistant physician, . 

Assistant physician, . 

Treasurer and clerk, . 

Engineer, with house rent, 

Farmer, .... 

Florist, without board, 

Matron, .... 

Superintendent of nurses, . 

Superintendent of nurses, . 

Assistant superintendent of nurses, 

Secretary to superintendent, 

Stenographer, . 

Seamstress, 

Assistant seamstress, 

Assistant seamstress, 

Laundry man, 

Laundresses (four) , 

Baker, 

Assistant baker, . 

Steward, with partial 

Assistant steward, 

Assistant steward, 

Nurses (men, thirty-one), . 

Nurses (women, thirty-eight), 

Usher, .... 

House maids (three), 

Waitress, 

Waitress, .... 



board, 



r year, 




$3,000 00 
1,000 00 


u 




1,000 00 


it 




600 00 


it 




500 00 


u 




1,800 00 
1,100 00 


t. 




780 00 
700 00 


r month 
it 




35 00 
50 00 
40 00 
35 00 
35 00 
28 00 


u 




22 00 
18 00 
16 00 


u 




45 00 
18 00 


11 

u 




60 00 
40 00 
60 00 
50 00 


" 




40 00 


« 


$21 


00 to 33 00 


ll 


14 00 to 25 00 


li 




14 00 


u 


16 


00 to 18 00 
18 00 
14 00 



1905.] 



PUBLIC DOCUMENT — No. 21. 



27 



Cooks (three), . 

Kitchen girls (four). 

Clothes marker, 

Painter, 

Painter, 

Assistant engineer, 

Fireman, . 

Firemen (two), . 

Coachman, . 

Farm laborers (fourteen). 

Herdsman, . 

Carpenter, . 

Carpenter, . 

Carpenter, . 

Carpenter, . 

Plumber, . 

Mechanic, . 

Mechanic, . 

Mechanic, . 

Watchman, . 

Gardener, . 

Kitchen helper, . 



per month, 


$20 


00 to 25 00 


" 


14 


00 to 15 00 


u 




25 00 


l< 




60 00 


" 




50 00 


It 
11 




50 00 
35 00 
30 00 
40 00 


" 


25 


00 to 30 00 
35 00 
60 00 


per day, 




3 00 


(i 




2 50 
2 00 


peiynonth, 




75 00 


<i 




50 00 


it 




35 00 


per day, 




2 25 


per month, 




30 00 
30 00 


(1 




25 00 



w 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



TREASURER'S REPORT. 



To the Trustees of the Northampton Insane Hospital. 

I herewith submit my annual report of the finances of the 
Northampton Insane Hospital for the year ending Sept. 30, 
1905: — 



Assets, 
Five hundred and eleven acres of land, 
Hospital buildin; 
Farmhouse, 
Briek house. 
Six dwellings, 

Storehouse, shops and cold storage, 
Two barns, . 
Horse stable, 
New cow stable, 
Piggery, 
Lumber house, 
Cart shed, . 
rump house, 
Two ice houses, 
Paint house. 



Personal Estate. 
Stocks and supplies, as per inventory, 

Receipts. 

Cash on hand Oct. 1, 1901, 

Received from individuals for support of patients, . 
Received from individuals, reimbursements, 
Received from soldiers 1 relief for support of patients, 
Received from sales, farm produce, .... 
Received from sales, miscellaneous articles, 
Received from interest on bank deposit, . 
Received from Commonwealth for current expenses, 
Received from Commonwealth for special appropriation 



$56,900 00 

600,000 00 

1,500 00 

1,700 00 

4,000 00 

30,000 00 

5,000 00 

6,000 00 

13,000 00 

3,000 00 

850 00 

400 00 

500 00 

300 00 

500 00 





$723,650 00 


. $105,472 12 


$2,303 49 




31,283 21 




8,842 94 




169 46 




2,074 57 




1,386 08 




120 15 




148,185 01 


' 


62,026 32 



Total receipts, 



$256,391 23 



1905.] 



PUBLIC DOCUMENT — Xo. 21. 



29 



Expenditures. 



Salaries, wages and labor, 

Food : — 
Beans, .... 
Bread and crackers, . 
Butter, 

Cereals, rice, meal, etc., 
Cheese, 



Eggs, 



Fish 

Flour, ..... 

Fruit, 

Meats, 

Milk, 

Molasses, .... 

Sugar, 

Sundries, .... 
Tea, coffee, broma and cocoa, 
Vegetables, .... 

Salt, 

Yeast 



Clothing and clothing material : — 
Boots, shoes and rubbers, . 

Clothing, 

Dry goods for clothing and small wares, 
Furnishing goods, .... 

Hats and caps, 

Leather and shoe findings, . 
Sundries, 



Furnishings : — 
Beds, bedding, table linen, etc., . 
Brushes, brooms, etc., 
Crockery, glass ware, cutlery, etc. 
Carpets, rugs, etc., 
Furniture and upholstery, 
Kitchen furnishings, . 
Wooden ware, buckets, etc. 
Sundries, 

Heat, light and power : — 
Coal, hard and soft, . 
Gas, .... 
Oil, .... 
Sundries, 
Packings for engine, . 

Amount carried forward, 





?49,589 81 


$425 45 




612 33 




6,798 71 




1,025 98 




271 39 




7,311 30 








7,765 25 




1,739 71 




7,297 66 




1,504 80 




623 83 




3,421 15 




717 33 




1,410 57 




967 64 




20 00 




135 00 






44,326 48 




8904 59 




1,821 04 




1,635 60 




210 81 




64 86 




4 15 




52 59 






4,693 64 




r2,600 36 




83 40 




607 53 




401 63 




2,013 74 




33 49 




35 50 




27 24 






5,802 89 


|11,512 13 


70 47 




242 28 




287 38 




109 06 






12,221 32 




. 


*116,634 14 



3<» 



NORTHAMPTON INSANE HOSPITAL. [Oct, 



Amount brought for/card, $116,634 14 



Repairs and improvements : — 
Cement, lime and plaster, . 
Doors, sashes, etc., . 
Electrical work and supplies, 

Hardware, 

Lumber, 

Machinery, etc , . 

Paints, oils, glass, etc., 

Plumbing, steam fitting and supplies, 

Roofing and materials, 

Mechanics and labor not on pay roll, 

Sundries, ...... 



Farm, stable and grounds : — 
Blacksmith and supplies, . 
Carriages, wagons and repairs, 
Fertilizers, vines, seeds, etc., 
Hay, grain, etc., . 
Harness and repairs, . 
Horses, .... 

Cows, 

Other live stock, . 
Labor not on pay roll, 

Rent, 

Tools, farm machines, etc , 
Sundries, .... 



Miscellaneous : — 
Books, periodicals, etc., 
Chapel services and entertainments, . 
Freight, expressage and transportation. 
Funeral expenses, 

Hose, etc., 

Labor not on pay roll, 
Medicines and hospital supplies, 
Medical attendance, nurses (extra), 

Postage, 

Printing and printing supplies 
Printing annual report, 
Return of runaways, . 
Soap and laundry supplies, 
Stationery and office supplies. 
School books and supplies, 
Travel and expenses (officials), 
Telephone and telegraph, . 
Tobacco, ..... 

Amounts carried forward, . 



177 93 

138 95 

642 45 

1,532 10 

639 60 

1,173 70 

1,385 40 

1,405 21 

31 00 

552 41 

220 81 



$307 67 
422 16 
980 94 

7,458 08 
136 65 
530 00 
994 50 

1,757 00 

55 00 

72 75 

211 15 

186 47 



$222 85 

829 50 

1,403 43 

46 00 

261 83 

15 25 

1,480 20 

159 00 

270 80 

224 85 

162 94 

19 79 

1,207 44 

335 25 

23 00 

403 00 

223 42 

433 34 



',799 56 



13,112 37 



$7,721 89 $137,546 07 



1905.] PUBLIC DOCUMENT — No. 21. 31 

Amounts brought forward, $7,721 89 $137,546 07 

Water, 6 cents per 1,000 gallons, . * . . 2,387 13 

Sundries, 529 92 

10,638 94 



Total, $148,185 01 

Paid out of special appropriations, . . . $62,026 32 
Receipts paid to State Treasurer, . . . 43,649 71 

105,676 03 



Total expenditures, $253,861 04 

Cash on hand Sept. 30, 1905, 2,530 19 



$256,391 23 
Resources and Liabilities. 
Resources. 
Cash on hand Sept. 30, 1905, payable to State 

Treasurer, $2,530 19 

Balance of receipts and maintenance appropri- 
ations with State Treasurer, .... 59,295 59 
Bills due from individuals for support of 

patients, 13,341 45 

Bills due from soldiers 1 relief, . . . . 42 71 

Bills due from individuals, reimbursements, . 2,968 58 

Unexpended special appropriations, . . . 12,755 68 

Total resources, $90,934 20 

Liabilities. 

Salaries, wages and labor, $4,413 08 

All other current expenses, .... 9,127 70 

Bills due on account special appropriation, . 2,931 00 



Total liabilities, 16,471 78 

Balance for the institution, $74,462 42 

During the year the average number of patients has been 794-f-. 

Dividing the total expenditure for maintenance 
($148,185.01) by the average number gives 
an average annual cost of ... . $186 63-f- 

Equivalent to an average weekly cost of . . 3 57+ 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



Statement of Funds. 
Fred B. Kelly Fund. 
Balance on hand Oct. 1, 1904, .... $603 79 

Interest to April 1, 1905, 2130 



Balance in Northampton Institution for Savings, . . $625 09 

LEWIS F. BABBITT, 

Treasurer. 

We have examined, as auditors, the accounts of the treasurer, and found a satis- 
factory voucher for every entry. 

HENRY P. FIELD. 
ALVAN BARRUS. 



1905.] 



PUBLIC DOCUMENT — No. 21. 



33 



Eh 

<j 
H 

Eh 

a 

Ph 
& 

03 





Balance 
at the 
End of 
Year. 


$2,936 64 
2,874 33 

994 71 

460 00 

4,000 00 

1,600 00 


oo 
CO 




^5 . 

73 — 

« o 


$16,000 00 

62,063 36 

10,000 00 

3,625 67 

3,500 00 

1,000 00 

805 29 

5,050 00 


<M 

eo 

o 
of 

o 

S> 




Total. 


$1,146 73 

48,673 51 

33 37 

2,713 17 

2,604 25 

1,000 00 

805 29 

5,050 00 


e* 

eo 

to 

CN 

o 

(N 

to 




Furnish- 
ing and 
equip- 
ping- 


$2,713 17 


eo 

4& 




Repairs 
and Minor 
Improve- 
ments. 


$805 29 


CN 

o 

00 




Total 
Buildings 

and 
Additions. 

$1,146 73 

48,673 61 

33 37 

2,604 25 
1,000 00 


CO 
00 

t— 

eo" 

€» 




For Farm, 
Btable and 
Grounds. 

$1,146 73 
1,000 00 


eo 
to 

4& 




For 
Patients 

and 
Nurses. 

$48,673 51 
33 37 

2,604 25 


eo 

eo 

■a 




Land. 
$5,050 00 


o 
o 

o 
tti 




Whole 
Amount. 

$16,000 00 
65,000 00 
10,000 00 
6,500 00 
3,500 00 
1,000 00 
1,800 00 
6,500 00 
4,000 00 
1,500 00 


o 
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> 

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Object. 


Hay, barn and cow stable, 

Infirmary, north wing, . 

Repairing and altering heating 

plant. 
Furnishing men's infirmary, . 

Furnishing women's infirmary, . 

Constructing and repairing side- 
walks. 
Installing telephones and clocks, . 

Purchase of land and buildings, . 

Engine and electric generator, 

Construction of hothouse, 


so 
o 



34 NORTHAMPTON INSANE HOSPITAL. [Oct. 1905 



INVENTOKY OF STOCK AND SUPPLIES 

On Hand Sept. 30, 1905. 



Live stock on farm, $12,102 00 

Produce of farm on hand, 10,301 90 

Carriages and agricultural implements, 3,200 00 

Machinery and mechanical fixtures, 17,750 00 

Beds and bedding in inmates' department, .... 16,000 00 

Other furniture in inmates' department, 12,000 00 

Personal property of State in superintendent's department, . 10,000 00 

Ready-made clothing, 1,979 29 

Dry goods, 3,478 27 

Provisions and groceries, 10,665 29 

Drugs and medicines, 500 00 

Fuel 5,638 50 

Library, 1,300 00 

Tobacco, 81 25 

Other supplies undistributed, 475 62 



$105,472 12 



STATISTICAL TABLES. 



[Form prescribed by State Board of Insanity.] 



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38 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



2. — Insane received on First and Subsequent Commitments. 





Cases committed. 


NUMBER OF COMMITMENTS. 










Males. 


Females. 


Totals. 


First to this hospital, 






123 


121 


244 


Second to this hospital, 






19 


22 


41 


Third to this hospital, 






5 


2 


7 


Fourth to this hospital, 






2 


1 


3 


Fifth to this hospital, 






1 


2 


3 


Seventh to this hospital, 






1 


- 


1 


Ninth to this hospital, 






1 


" 


1 


Total cases, 


152 


148 


300 


Total persons, . 






151 


144 


295 


Never before in any hospital for insane, 


111 


114 


225 



1905.] 



PUBLIC DOCUMENT — No. 21. 



39 



3. — Nativity and Parentage of Insane 

Any Hospital. 



Persons first admitted to 





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


00 

a 

2 


CO 


m 


CO 

a 

.2 
■£ 


00 


1 


to 

a 
« 

PL) 


oj 


i 
I 


Massachusetts, 


53 


36 


34 


45 


24 


24 


98 


60 


58 


Other New England States, . 


10 


11 


10 


10 


8 


9 


20 


19 


19 


Other States, .... 


12 


8 


9 


4 


6 


6 


16 


14 


15 


Total native, 


75 


55 


53 


59 


38 


39 


134 


93 


92 


Other countries : — 




















Austria, 


2 


2 


2 


3 


3 


3 


5 


5 


5 


Canada, 


5 


7 


8 


12 


13 


13 


17 


20 


21 


England, 


3 


4 


4 


2 


4 


4 


5 


8 


8 


France, 


- 


- 


- 


1 


1 


1 


1 


1 


1 


Germany, .... 


4 


7 


7 


4 


6 


6 


8 


13 


13 


Ireland, 


13 


25 


26 


26 


41 


40 


39 


66 


66 


Italy, 


- 


- 


- 


2 


2 


2 


2 


2 


2 


Poland, 


1 


1 


1 


1 


1 


1 


2 


2 


2 


Russia, 


4 


4 


4 


1 


1 


1 


5 


5 


5 


Scotland, 


1 


2 


2 


- 


- 


- 


1 


2 


2 


Sweden, 


2 


2 


2 


3 


3 


3 


5 


5 


5 


Turkey, 


1 


1 


1 


- 


- 


- 


1 


1 


1 


Total foreign, . 


36 


55 


57 


55 


75 


74 


91 


130 


131 


Unknown, .... 


111 


1 
111 


1 
111 


- 


1 


1 


- 


2 


2 


Totals, .... 


114 


114 


114 


225 


225 


225 



40 



NORTHAMPTON INSANE HOSPITAL. 



[Oct, 



Residence of Insane Persons admitted by Commitment, 









First admitted to Ant 
Hospital. 


All Other Admissions. 


PLACES. 




03 

"3 

g 

fa 


■ 

o 




■ 

"5 

a 


o 


Hampshire County, . 
Hampden County, 
Berkshire County, 
Franklin County, 
Suffolk County, . 
Worcester County, 






27 
45 
21 
17 

1 


17 
58 
26 
13 


44 

103 

47 

30 

1 


5 

20 
10 

5 


2 

19 
4 
3 

2 


7 
39 
14 

8 

2 


Totals, 
Unknown, . 


111 


114 


225 


40 
- 


30 


70 


Totals, 
Cities and towns, 
Country districts, 


111 
74 
37 


114 
92 
22 


225 

166 

59 


40 
26 
14 


30 

28 

2 


70 
54 
16 


Totals, 


111 


114 


225 


40 


30 


70 



5. — Civil Condition of Insane Persons first admitted to Any 

Hospital. 



Females. Totals 



Unmarried, 
Married, 
Widowed, . 
Divorced, . 
Unknown, . 
Totals, 



41 

61 

9 



111 



40 

48 

21 

5 



114 



81 

109 

30 

5 



225 



1905.] 



PUBLIC DOCUMENT — No. 21. 



41 



6. — Occupation of Insane Persons first admitted to Any Hospital. 



MALES. 



Barbers, 






2 


Merchants, . 




2 


Bartender, . 






1 


Operatives, . 




11 


Blacksmith, 






1 


Painters, 




5 


Bookkeeper, 






1 


Paper makers, . 




2 


Bootblack, . 






1 


Peddlers, 




2 


Carpenters, . 






4 


Physician, . 






Cigar makers, 






2 


Pocketbook maker, 






Etcher, 






1 


Polishers, . 






Farmers, 






15 


Professor, . 






Farm laborers, 






6 


Qnarryman, 






Gun makers, 






2 


Salesman, . 






Grocers, 






2 


Shoemaker, 






Harness maker, 






1 


Sign painter, 






Hod carrier, 






1 


Silver plater, 






Hotel keeper, 






1 


Stone mason, 






Iron molder, 






1 


Teamsters, . 






Janitor, 






1 


Textile designer, 






Laborers, . 






18 


Tool makers, 






Lithographer, 






1 


Whip maker, 






Machinists, . 






2 

1 


No occupation, . 
Total, . 






Mechanic, . 


111 



Cooks, 
Domestics, . 
Dressmakers, 
Housekeepers, 
Operatives, . 



2 

18 

2 

5 

13 



Saleswomen, 
Students, 
Teachers, . 
No occupation, 
Total, . 



2 

3 

2 

26 



73 



42 



NORTHAMPTON INSANE HOSPITAL. 



[Oct. 



6. — Occupation of Insane Persons first admitted to Any Hospital 

— Concluded. 









WIFE OF — 








Agent, . 






2 


Merchant, . 






1 


Armorer, 






1 


Operative, . 






6 


Bookkeeper, 






1 


Painter, 






1 


Coachman, . 






2 


Quarry man, 






1 


Dentist, 






1 


Salesman, . 






1 


Engineer, . 






1 


Tailor,. . - 






2 


Farmer, 
Fireman, 






3 

2 


Woodworker, 

Total, . 






1 
41 


Laborer, 






15 







1905.] 



PUBLIC DOCUMENT — Xo. 21. 



43 



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Congenital, 

15 years and less, 

From 15 to 20 years, 

20 to 25 years, 

25 to 30 years, 

30 to 35 years, 

35 to 40 years, 

40 to 50 years, 

50 to 60 years, 

60 to 70 years, 

70 to 80 years, 

Over 80 years, 


Totals, 

Unknown, 


Totals, 

Mean known ages, 



44 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



8. — Probable Causes of Mental Disease in Persons first admitted to 

Any Hospital. 















Predisposing Causes. 






HEREDITARY 
TENDENCT. 


NEUROTIC 
TENDENCT. 


ALCOHOLIC 
TENDENCT. 




"5 


09 

"3 

6 

CP 
fa 


1 


■ 

"3 
3 


93 

V 

"3 
S 

<x> 

fa 


at 

o 




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S 

fa 


<r. 

"3 
o 

H 


CO 

to 
3 


CO 

3 

a 

fa 


09 

3 
o 
H 


Cerebral hernoi 
Congenital, 
Drug habits, 
Epilepsy, . 
Heredity, . 
Heredity and 

use of tobacc 
Heredity and d 
Heredity and 

ance, 
Heredity and n^ 
Heredity and pi 
Heredity and s< 
Illness, 
Intemperance, 
Intemperance 2 

sive use of to 
Intemperance t 

pause, . 
Intemperance a 
Intemperance 

ilis, 
Masturbation, 
Menopause, 
Puerperium, 
Senility, . 
Syphilis, . 
Unknown, 
Not insane, 


'rhag 

exce 
o, 

rugs, 
inter 

enop 
lerpe 
^nilit 

md e 
bacc< 
ind b 

ndse 
and 


e, . 

ssive 

nper- 

ause, 
rium, 
Pi • 

xces- 

aeno- 

nility, 
syph- 


4 
16 

3 

10 

1 
2 

1 

3 
3 

27 

3 

3 

1 

22 
3 

9 


3 

9 

1 

1 

21 

3 
2 
3 

2 

1 

14 

1 
2 

4 
1 
2 
11 
12 
8 

12 
1 


7 

26 

1 

4 

31 

1 
2 

4 
2 
3 
5 
4 
41 

3 

1 
5 

5 
1 
2 

11 
34 
11 
21 
1 


1 
5 

10 

1 
2 

1 
3 

23 


2 

1 
21 

3 
2 
3 
2 

1 
35 


1 

7 

1 
31 

1 
2 

4 
2 
3 
5 

1 
58 


2 

2 

3 

1 
1 
5 

14 


1 

6 

1 
1 
1 

1 
4 

15 


1 

2 
8 

3 

1 

1 
1 
1 
2 
9 

29 


1 
1 

27 
3 

3 
1 

36 


1 

3 

14 

1 
2 

4 
2 

27 


1 

4 

1 
41 

3 

1 
5 

5 
2 


Totals, 




• 


111 


114 


225 


63 



1905.] 



PUBLIC DOCUMENT — No. 21. 



45 



9. — Probable Duration of Mental Disease before Admission. 





First 


admitted to any 
Hospital. 


PREVIOLS DL RATION. 










Males. 


Females. 


Totals. 


Congenital, 










19 


11 


30 


Under 1 month, . 










24 


15 


39 


From 1 to 3 months, 










13 


11 


24 


3 to 6 months, 










10 


5 


15 


6 to 12 months, 










6 


12 


18 


1 to 2 years, . 










15 


19 


34 


2 to 5 years, . 










10 


19 


29 


5 to 10 years, . 










5 


16 


21 


10 to 20 years, . 










5 


3 


8 


Over 20 years, . 










1 


3 


4 


Totals, 


108 


114 


222 


Unknown, . 










3 


- 


3 


Totals, 


111 


114 


225 


Average known duration in years, . 






1.88 


2.75 


2.34 



46 



NORTHAMPTON INSANE HOSPITAL. [Oct. 



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A. — First admitted to any hospital: — 
Insane: — 
Acute alcoholic insanity, . 

Acute delirium, 

Chronic alcoholic insanity, 

Dementia, 

Dementia, prsecox, hebephrenic form, 
catatonic form, 
■ paranoid form, 

Epilepsy, 

Huntington's chorea, 
Involution psychosis, 

maniacal for 
mixed form, 

Mental deficiency, .... 

Organic dementia 

Paranoia, 

Paresis, 

Senile dementia 

Habitual drunkard 



1905.] 



PUBLIC DOCUMENT — No. 21 



47 



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B. — Other admissions : — 
Insane : — 
Acute alcoholic insanity, .... 
Chronic alcoholic insanity, 

Dementia, 

Dementia, prsecox, hebephrenic form, . 
catatonic form, . 
paranoid form, . 
Epilepsy, 

Manic-depressive insanity, depressed form, 
maniacal form, 
mixed form, 

Mental deficiency 

Organic dementia, 

Paranoia, 

Paresis, 

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NORTHAMPTON INSANE HOSPITAL. 



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PUBLIC DOCUMENT — Xo. 21. 



51 



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PUBLIC DOCUMENT .... .... No. 21. 



FIFTY-FIRST ANNUAL REPORT 



THE TRUSTEES 



OF THE 



NORTHAMPTON STATE HOSPITAL 



Year ending November 30, 1906. 




BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1907. 



PUBLIC DOCUMENT 



No. 21. 



FIFTY-FIRST ANNUAL REPORT 



THE TEUSTEES 



»a 



NORTHAMPTON STATE HOSPITAL, 



Year ending November 30, 1906. 




&~ BOSTON : 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1907. 






£jkir&*Yi cfrtt, 



Approved by 
The State Board of Publication, 



3^2.2- 






CONTEXTS 





PAGE 


List of Officers, 


5 


Report of Trustees, 


7 


Report of Superintendent, .... 


10 


Report of Treasurer, 


29 


Statistics, 


35 



OFFICERS 



NOKTHAMPTON STATE HOSPITAL 



TRUSTEES. 

WILLIAM D. MacINNES, Pittsfield. 

HENRY L. WILLIAMS, Secretary, .... Northampton. 

CHARLES S. SHATTUCK, . ■ Hatfield. 

ALVAN BARRUS, Chairman, Goshen. 

SARAH A. WOOD WORTH, Chicopee. 

CAROLINE A. YALE Northampton. 

F. W. CHAPIN, M.D Springfield. 

RESIDENT OFFICERS. 

JOHN A. HOUSTON, M.D Superintendent. 

HARRIET M. WILEY, M.D., Assistant Physician. 

CHARLES H. DEAN, M.D., Assistant Physician. 

GRACE E. B. RICE, M.D., Assistant Physician. 

EDWARD W. WHITNEY, M.D., .... Assistant Physician. 

C. STANLEY RAYMOND, M.D., .... Assistant Physician. 

LEWIS F. BABBITT Clerk. 

SUSAN E. WARREN Matron. 

JOHN MERCIER, Farmer. 

JOSEPH G. COOK, Farmer. 

GEORGE T. GILBERT Engineer. 

TREASURER. 

LEWIS F. BABBITT, Northampton. 

Office at the Hospital. 



Commonfomltjj ai ^wmfymtttB. 



TEUSTEES' REPOKT. 



To His Excellency the Governor oj the Commonwealth and the Honorable 

Council. 

The trustees of the Northampton State Hospital respectfully 
present herewith their fifty-first annual report of the condition 
of the hospital and its affairs. 

This report covers a period of fourteen months, from Oct. 1, 
1905, to Nov. 30> 1906, in order to bring our hospital year to 
conform to the new fiscal year, from December 1 to the follow- 
ing November 30, established by act of Legislature last year. 

We refer to the reports of the superintendent and treasurer 
for details of affairs in their departments. 

Early in the year the special appropriation for the purchase 
and erection of a new engine and electric generator was used 
for that purpose. A 125 horse-power Ames engine, connected 
directly to a 100 K.W. General Electric generator, was 
installed. 

The appropriation for the construction of a hothouse for the 
farm and garden has not been expended. We had hoped to 
purchase the necessary materials with the money appropriated, 
and to do all work of construction with our own force of em- 
ployees, but the latter have been occupied in doing other work. 
We find that the appropriation is inadequate for the erection 
of a suitable house at present, because of the increase in the 
prices of materials and of labor, and because of the shortening 
in the number of hours which constitute a day's work for em- 
ployees of the Commonwealth. We therefore shall ask for an 
additional appropriation for this purpose. 



8 NORTHAMPTON STATE HOSPITAL. [Dec. 

The Legislature of the present year made a special appro- 
priation of $17,500 for installing a better water supply. 
The trustees have had several conferences with the water 
commissioners of Northampton on the matter, but have not 
perfected their plans. We had hoped to begin the work this 
fall, but in September found that we could not obtain water 
pipe of the required size till December or January, consequently 
work has been postponed till spring. 

We approve of the recommendations of the superintendent 
in regard to the needs of the hospital for the coming year, and 
respectfully ask the Legislature to appropriate the sum of 
$2,000 for the purchase of plumbing fixtures and materials to 
replace worn-out fixtures ; for the sum of $1,200 for putting 
electric lights along the path and driveway from the street to 
the hospital; for the sum of SI, 000 for the purchase of 
machinery for the bakery; for the sum of $2,000 for the pur- 
chase of cows. We also ask for an additional appropriation of 
$2,100 for a hothouse for farm and garden, and for the sum of 
$700 for lumber to construct an ice house, the one now in use 
being unsafe to use another season. 

In October Mr. Field resigned his position as trustee, to 
accept an appointment to the State Board of Insanity. The 
trustees desire to express here their high esteem of Mr. Field 
as an associate, and their appreciation of the great interest he 
has shown in the management of the hospital and its affairs. 

Mr. Henry L. Williams of Northampton was appointed by 
the Governor to take Mr. Field's place on the Board. 

For a period of nearly forty years Mr. John Mercier, our 
head farmer, has been in the service of the hospital. During 
twenty-four years he has had direct charge of the farm, in 
the management of which he has been signally successful. 
Because of his advancing years and occasional periods of ill 
health it has been thought advisable to appoint an associate, 
who could relieve him of some of his care and responsibility, 
and eventually take his place. We accordingly appointed Mr. 
Joseph G. Cook to the place. He is a graduate of the Amherst 
Agricultural College, and comes to us highly recommended. 

The only change in the medical staff has been the appoint- 
ment of Dr. Charles Stanley Raymond as medical interne. 



1906.] PUBLIC DOCUMENT — No. 21. 9 

We have visited the hospital regularly for the monthly meet- 
ings, and various members of the Board have made frequent 
visits at other times than the stated meetings. We have al- 
ways found the hospital and its affairs in excellent condition, 
and take occasiomnow to express our approval of the work of 
the officers of the hospital. 

WILLIAM D. MacINNES. 

HENRY L. WILLIAMS. 

CHARLES S. SHATTUCK. 

ALVAN BARRUS. 

SARAH A. WOOD WORTH. 

CAROLINE A. YALE. 

F. W. CHAPIN, M.D. 



10 NORTHAMPTON STATE HOSPITAL. [Dec. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I hereby present my report for the period beginning Oct. 1. 
1905, and ending Nov. 30. 1906. 

The statistical tables appended to this report are for the year 
ending Sept. 30. 1906. A brief analysis of them will show the 
main facts of interest concerning the patients who were here 
under treatment during that period. 

At the beginning of the year there were 771 patients in the 
hospital or boarded out under our care. Excluding from the 
number of admissions shown in the first table 27 patients who 
were out on trial visit at the beginning of the year, and who 
were nominally admitted and discharged at the expiration of 
their leave of absence without returning to the hospital, there 
were 262 admissions, making the total number cared for 1.033 ; 
262 were discharged, leaving 771 at the end of the year. 

The daily average number of patient- was 7 67. 

The following table shows the annual number of admissions 
in the past rive years : — 

In 1902 the number of admissions was 222 

In 1903 the number of admissions was 258 

In 1904 the number of admissions was 392 

In 1905 the number of admissions was -iOl 

In 1906 the number of admissions was 262 

It will be noticed that the number of admissions in the years 
1904 and 1905 was much larger than in the preceding years, 
for which the change from town to State support is re-ponsible. 
The number of admissions in 1906 dropped back to nearly the 
same number as in 1903, and probably represents what may 
be normally expected for the next few year-. It is consider- 
ably larger than in any year prior to 1903, which may be 
accounted for partly by the gradual increase in the general 



1906.] PUBLIC DOCUMENT— No. 21. 11 

population of our district, and largely by the commitment of 
feeble-minded and senile cases that were formerly cared for in 
almshouses. There were 21 such cases admitted in 1906. 

Of the admissions, 252 were committed by order of court, 
4 were by voluntary commitment, 3 were transferred by the 
State Board of Insanity, — 1 from the Worcester Insane Hos- 
pital, 1 from the State Hospital, Tewksbury, and 1 from 
boarding out, — 1 was admitted from elopement and 2 from 
visit. Two of the voluntary cases were not insane. 

One hundred and ninety-eight of the cases had never before 
been in any hospital for the insane ; 217 were admitted to this 
hospital for the first time, 2S for the second time, 7 for the 
third time and 1 each for the fifth and seventh times. 

Of those admitted, only 42 per cent, were born in Massachu- 
setts ; 33 per cent, were of foreign birth and about 55 per cent, 
were of foreign parentage. 

The principal causes of insanity in the cases admitted were, 
as nearly as could be ascertained, old age in 52, intemperance 
in 51, heredity in 49, congenital deficiency in 36, cerebral 
hemorrhage in 9, epilepsy in 7. 

The mean age of cases admitted was forty-five years. Fifty- 
seven of the persons admitted were over sixty years old. Of 
these, 25 were between seventy and eighty years old and 12 
were over eighty years old. 

About 60 per cent, of the persons admitted had been insane 
a year or more at the time of admission. More than 200 of 
them were suffering from various forms of mental disease from 
which recovery is seldom expected. 

Two hundred and sixty-two patients were dismissed during 
the year ; of these, 29 were discharged as recovered, 32 as 
capable of self-support, 37 as improved, 20 as not improved, 
3 as not insane. Two of the latter were admitted as not 
insane by voluntary commitment, and 1, committed as insane, 
was an inebriate. 

Seventy-three died, — 7 per cent, of the whole number 
under treatment. The principal causes of death were : senility 
in 18 cases, general paralysis in 11 cases, cerebral hemorrhage 
in 7 cases, endocarditis in 6 cases, general tuberculosis in 4 
cases and pulmonary tuberculosis in 3 cases, and typhoid fever 



12 NORTHAMPTON STATE HOSPITAL. [Dec. 

and carcinoma in 3 cases each. The average age of those who 
died was fifty-nine years ; 24 of these were over seventy years 
old. 

Fifty-six patients were transferred to other institutions : 
1 to the Westborough Insane Hospital, 25 to the State Hospital, 
Tewksbury, and 30 to the State Colony for Insane, Gardner. 
At the end of the year 3 patients who had eloped had not been 
returned to the hospital. 

Thirty-six patients were out on trial visit at the end of the 
year, most of whom will be able to remain at home. 

We have placed 14 patients in families since the law per- 
mitting family care was enacted. One of these was discharged 
as no longer requiring supervision, 2 were returned to the 
hospital because of illness and 2 because of attempts to leave 
their boarding places without permission. Nine patients re- 
mained in families at the end of the year. They have been 
visited regularly by some one of our staff. They were found 
to be comfortably situated, and seemed to be contented. There 
are others for whom we are now trying to find suitable board- 
ing places. 

For several reasons the number thus boarded out by us will 
in all probability not be large. First, we try to persuade 
relatives and friends to care for such cases as would be suitable 
to place in family care ; secondly, the State Board of Insanity 
will continue to place out some cases from this hospital ; and 
finally, the cost of boarding out patients will keep the number 
small so long as the expense must be met from our maintenance 
appropriation. Patients who are suitable to be boarded out 
are of the quiet class, who need but little supervision. Removal 
from the hospital of 10 or 20 of their class will not noticeably 
reduce our expenses, as the admission of an equal number would 
not materially increase our expenses ; but to board out 10 
patients will reduce by about $1,500 our maintenance appro- 
priation, which is not now estimated on a per capita basis. 

The work of the training school has continued without inter- 
ruption. It is gratifying to note the steady improvement in the 
efficiency of our nursing force, due to the training and the 
increasing benefit to the hospital. 

Four members of the school were graduated : Helena Don- 
oghue, Clara L. LaDue, Effie Mahy and Madelena Rice. 



1906.] PUBLIC DOCUMENT — No. 21. 13 

The course in cooking conducted by Miss Baer proved very 
successful, and will be continued the coming year. 

Courses in gymnastics have been resumed. At present there 
are two classes of patients and one of nurses twice each week, 
under the direction of Miss Eisenbrey, assistant instructor at 
Smith College. 

It is with sorrow that I report the resignation of Miss Bedell, 
the former superintendent of nurses, who had to leave because 
of ill health. Her management of the school in the four years 
in which she had charge was very successful. Miss Root, one 
of the graduates of our school, was appointed to the vacancy, 
and Ave have reason to believe that her management will prove 
satisfactory. 

Success in treatment of our patients depends not only upon 
the personality of the nursing force but also upon the amount 
of attention patients may have. Having long recognized this, 
we have gradually, but as rapidly as possible, increased our 
number of nurses. The present ratio of nurses to patients is 
about 1 to 10. This includes supervisors and night nurses, as 
well as those on duty during the day. A ratio of 1 to 9 or of 
1 to 8 would be desirable if we had accommodations for that 
number, and an appropriation large enough to warrant the 
necessary increase in expense. 

Patients have been employed in the various departments of 
the hospital about the same as mentioned in former annual 
reports. Each department has workers who have become quite 
proficient in the parts assigned them, to the advantage of both 
patients and hospital. Of all the places about the hospital I 
consider the farm and grounds the most valuable for providing 
work, because the work is out of doors, and it is simple, afford- 
ing opportunity for a large number who could not put their 
minds to any labor requiring the exercise of much thought or 
judgment. 

There has been about the usual number of assemblies of 
patients for worship and for entertainment. On every Lord's 
Day some clergyman from our neighborhood has conducted 
religious services here, for which I here express our appre- 
ciation. 

The entertainments have been varied in character, as shown 
by the following list. Usually music forms some part of each 



14 NORTHAMPTON STATE HOSPITAL. [Dec. 

entertainment. October 4, Scotch songs, Gavin Spence : Oc- 
tober 19, readings, Mrs. Mo a I ton ; October 21, training school 
graduating exercises ; October 25, songs and recitations, Mr. 
Taggart ; October 31, Hallowe'en party; November 8, panto- 
mime, " Editha's Burglar," by patients and nurses ; November 
14, violin and song recital, Misses Jones, Steele and Sehadee, 
and Mr. Steele ; December 2, readings, Mr. Eccles ; Decem- 
ber 4, minstrels, Father Matthew's Total Abstinence Society ; 
December 9, legerdemain, Mr. and Mrs. Martin ; December 25, 
Christmas tree; January 6, concert, Bacon Banjo Club: Feb- 
ruary 19, card party ; March 27, songs and readings, Mr. Rey- 
nolds ; April 30, ventriloquism, Mr. Bryant; May 9, song 
recital, Misses Steele, Campbell, Belcher and Metcalf; May 12, 
song and dramatic recital, Mr. Brigham ; May 14, " Babes in 
Toyland," Girls Friendly Society of Christ's Church, Spring- 
field ; May 26, drama, ^ Just for Fun," Guild of Unity Church, 
Amherst ; May 30, base-ball game ; July 4, band concert on 
lawn; September 8, concert by hospital orchestra; September 
10, musicale, the Misses Woods ; September 24, song and 
dramatic recital, Mr. Brigham ; October 4, training school 
graduating exercises; October 9, sonos and recitations, Mr. 
Taggart; October 12, concert, Mr. Bill and Mr, Bradley; 
October 17, songs and recitations, Mr. Reynolds; October 31. 
Hallowe'en party : November 6, readings, Mrs. Moulton ; No- 
vember 12, concert, Ariel Ladies' Quartette; November 22, 
legerdemain, Mr. Wilson. In addition to the above, there 
have been fifty-eight readings, seventeen dances, six stere- 
opticon lectures and seven concerts. 

A noteworthy change in our equipment was made by install- 
ing a new engine and electric generator, for which a special 
appropriation was made. 

The engine, made by the Ames Engine Company, is of 125 
horse-power, directly connected to a General Electric Com- 
pany's generator of 100 K.W. capacity. 

The wall between the former engine and dynamo rooms was 
removed, the floor above being supported by steel I beams. 
After the new engine was put in place the smaller engine and 
generator, which have been in use several years, were moved 
to a place beside the new ones. We now have a commodious, 



1906.] PUBLIC DOCUMENT — No. 21. 15 

well-lighted and convenient engine room, equipped with appa- 
ratus sufficient for our needs for years to come. 

Several important recommendations I have to make concern- 
ing matters that should be attended to soon. 

Much of the plumbing of the hospital is so worn out by long- 
usage that it is more expensive to repair it than to put in new 
material. This is especially true of the third halls north and 
the first halls south. I recommend that an appropriation be 
asked for large enough to purchase what material our own 
workmen can make use of during the coming year. 

I recommend that an appropriation be asked for to light the 
approaches to the hospital from the street at night. Both foot 
path and driveway are long and circuitous, and at night the 
way is puzzling to those unacquainted with it, and gloomy, 
especially to the female employees. A sum of $1,200 will be 
needed for materials. We can do the necessary work with our 
own force of patients and employees. 

I recommend the purchase of a dough mixer and a molding 
machine for our bakery. By the use of these machines the 
bakers can accomplish more work, the dough is more thor- 
oughly mixed, and a larger number of loaves can be made from 
each barrel of flour. I have secured prices for these machines, 
and for the motor to operate them and the necessary shafting. 
The sum of $1,000 will be needed for this purpose. 

Early in the year our herd of cows was found to be infected 
with tuberculosis. The Cattle Bureau of the State Board of 
Agriculture has kindly co-operated with us in our efforts to 
eradicate the disease, but it will require considerable time and 
expense to get rid of all diseased cows and to purchase new 
ones. We shall need at least $2,000 for this purpose the com- 
ing year. 

In this connection I would say that, by the recommendation 
of the Cattle Bureau, we have been trying the inoculation of our 
calves with bovovaccine, according to the so-called von Behring 
method. The calves are vaccinated at as early an age as 
possible, twice before reaching the age of three months. The 
claim is made that calves so vaccinated are made immune 
against tuberculous infection. We have thus far treated eleven 
calves. It is too early to make any report of the success of 



16 NORTHAMPTON STATE HOSPITAL. [Dec. 

the method. All we can say is that no injurious effects what- 
ever have been noted in any of the calves so treated. 

Two acts of the Legislature of 1906 are of special interest 
to us. 

The act providing that eight hours shall constitute a day's 
work for all laborers, workmen and mechanics employed by 
the Commonwealth applies to about 65 of our employees. For 
the present we have been able to make the necessary changes 
by the addition of 10 employees to our force, whose salaries 
and wages will amount to about $5,000 during the coming 
year. 

By another legislative act the title of the hospital was 
changed to the Northampton State Hospital. This change is 
much appreciated by patients and friends, and many letters and 
expressions of commendation have been received. 

On April 19 Mr. Robert Gallivan, our supervisor, who had 
been employed here for a period of thirty-three years, died 
after a long illness, though he kept at work till within a short 
time of his death. He was a very capable officer, of a genial 
disposition, which endeared him to patients and their friends, 
and he had the esteem of all the officers who were associated 
with him. He well merits mention as a faithful and efficient 
officer, whose death is a loss to the hospital. 

Our medical staff has been increased by the appointment of 
Dr. Charles Stanley Raymond as medical interne, who began 
his duties on July 1, 1906. 

Every year we are indebted to friends of the hospital and 
patients for gifts and remembrances of various sorts, which are 
highly appreciated by us. We express our thanks to the fol- 
lowing : Mr. T. L. Beardsley of Springfield, for presents for 
the Christmas tree ; Miss Fobes of Springfield, presents for the 
Christmas tree ; Mrs. J. L. Egbert, presents for the Christmas 
tree ; Mrs. W. T. Parker of Springfield, presents for the Christ- 
mas tree ; Dr. C. R. Gardner of Northampton, an aquarium ; Mr. 
C. N. Fitts of Northampton, pictures: Mrs. F. A. Holmes of 
Haydenville, books, magazines and papers ; Mr. G. F. Rider 
of Springfield, magazines; Mr. M. E. Ruther of Holyoke, 
papers; Mr. A. R. Thatcher of Haydenville, papers and maga- 
zines; Miss A. K. Gorham of Northampton, magazines; Mr. 



1906.] PUBLIC DOCUM E NT — No. 21 . 17 

R. T. Simeson of Northampton, papers and magazines ; Mr. 
C. W. Loomis of Northampton, magazines and papers; Mr. J. 
C. Fowle of Northampton, papers and magazines ; Mrs. John 
Warner of Northampton, papers and magazines. 

It gives me much pleasure to report that during my absence 
in early summer for a period of three months the affairs of the 
hospital were well managed by the other officers, and I com- 
mend them for the loyal and harmonious way in which they 
conducted their respective departments. 

JOHN A. HOUSTON, 

Superintendent. 



18 NORTHAMPTON STATE HOSPITAL. [Dec. 



DIETARY OF THE XOKTHAMPTOJST STATE 

HOSPITAL. 



[There are two bills of fare, the first of which is supplied to the tables of about 
three hundred persons, and the second to those of somewhat over three hundred. 
In addition to these, about 190 quarts of egg and milk are taken through the wards 
between meals and at bed time, and distributed to the old, the feeble and the con- 
valescent classes.] 



BILL OF FARE No. 1. 

Breakfast. 

Monday. — Tea, oatmeal, coffee, broiled beefsteak or eggs, potatoes, warm 

rolls (" biscuit 1 '), bread and butter. 
Tuesday. — Tea, coffee, oatmeal, fried tripe, 1 potatoes, warm rolls, bread 

and butter. 
Wednesday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes and 

warm brown (rye and Indian) bread. 
Thursday. — Tea, coffee, oatmeal, broiled beefsteak, potatoes, warm rolls, 

bread and butter. 
Friday. — Tea, coffee, oatmeal, fried tripe, 1 potatoes, warm rolls, bread 

and butter. 
Saturday. — Tea, coffee, oatmeal, either fried fish-balls or liver, meat hash, 

hot corn cake, bread and butter. 
Sunday — Tea, coffee, oatmeal, eggs, potatoes, warm rolls, bread and butter 

and fried Indian corn pudding. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable, 8 bread and butter, 
boiled rice with syrup or sugar. 

Tuesday. — Vegetable soup, roast or stewed veal, 3 potatoes and one other 
vegetable, 2 bread and butter, and baked Indian pudding. 

Wednesday. — Either roasted or boiled mutton, potatoes and one other 
vegetable, 8 bread and butter, and berry or apple pudding, with sauce. 4 

Thursday. — Vegetable soup, corned beef, potatoes and one other vege- 
table, 8 bread and butter, and boiled suet pudding, with syrup. 

1 Tripe is replaced in winter by sausages, and in spring by fried ham and eggs, 
except in the season of shad, when that fish is given once each week instead of ham 
and eggs, and once instead of beefsteak. 

- At least three vegetables during the summer. 

8 Substituted in winter by fresh pork ribs, roasted. 

4 In spring, maple syrup is used as sauce for puddings. 



1906. PUBLIC DOCUMENT — Xo. 21. 19 

Friday. — Either fried or baked fresh fish, 1 or stewed or roasted veal, 
potatoes and one other vegetable, 2 bread and butter, and tapioca pud- 
ding or raisin pudding of either rice, bread or cracker. 

Saturday.— Baked beans, corned beef, potatoes and one other vegetable, 2 
pickles, bread and butter, and baked bread pudding. 

Sunday. — Stewed mutton, sweet potatoes, warmed baked beans, pickles, 
bread and butter and pies, the kind varying with the season. 

Supper. 

Monday. — Tea and bread, warm corn cake and butter, hard gingerbread 
and a relish. 3 

Tuesday. — Tea, white bread, graham bread and butter, soft gingerbread 
and a relish in the warm season, substituted by buckwheat cakes in the 
cold season. 

Wednesday. — Tea, bread and butter, pie (the kind varying with the season) 
and ginger snaps and a relish. 

Thursday. — Tea, bread and butter, cookies and cheese. 

Friday. — Tea, bread and butter, cake (the kind varying) and a relish. 

Saturday. — Tea, bread and butter, doughnuts and cheese. 

Sunday. — Tea, bread and butter, cookies and ginger snaps and blanc- 
mange or corn starch. 

Extra. — In the winter and spring months hulled corn at supper, once in 
two weeks, on Saturdays. 



BILL OF FARE No. 2. 

Breakfast. 

Monday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 

Tuesday. — Coffee, oatmeal, cold roast beef, potatoes, and bread and butter. 

Wednesday. — Coffee, oatmeal, meat stew or boiled eggs, potatoes, and 

warm rye and Indian corn brown bread and butter. 
Thursday. — Coffee, oatmeal, picked codfish cooked in milk, potatoes, and 

bread and butter. 
Friday. — Coffee, oatmeal, cold corned beef or meat stew, potatoes, and 

bread and butter. 
Saturday. — Coffee, oatmeal, hash, either of meat or fish, and bread and 

butter. 
Sunday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 

Dinner. 
Monday. — Roast beef, potatoes and one other vegetable, 2 boiled hominy 
with molasses, and bread. 

1 Substituted by stewed oysters in winter and spring, with some kind of roasted 
meat for those who prefer it. 

2 At least three vegetables during tbe summer. 

3 This term, used for the want of a better, includes dried beef, berries, baked 
apples, apple sauce and canned fruits, all of which are supplied, and each accord- 
ing to the season. 



20 NORTHAMPTON STATE HOSPITAL. [Dec. 

Tuesday. — Vegetable soup, potatoes and one other vegetable, 1 baked 

Indian pudding 2 and bread. 
Wednesday. — Boiled codfish with drawn-butter sauce, potatoes and one 

other vegetable, 1 boiled hasty pudding with molasses, and bread. 
Thursday. — Vegetable soup, potatoes, cabbage or some other vegetable, 1 

boiled rice with molasses, 3 and bread. 
Friday. — Boiled fresh fish with drawn-butter sauce, potatoes, beets or some 

other vegetable, 1 boiled hasty pudding with molasses, and bread. 
Saturday. — Hot baked beans, potatoes, baked Indian or bread pudding, 

pickles and bread. 
Sunday. — Cold corned beef, potatoes, pies (the kind varying with the 

season) and bread. 

Supper. 
Monday. — Tea, bread and butter, and hard gingerbread. 
Tuesday. — Tea, bread and butter, and soft gingerbread. 
Wednesday. — Tea, bread and butter, cake or ginger snaps, and some kind 

of relish. 
Thursday. — Tea, bread and butter, and cookies. 
Friday. — Tea, bread and butter, and soft gingerbread. 
Saturday. — Tea, bread and butter, cake or ginger snaps, sauce. 
Sunday. — Tea, bread and butter, and cookies. 

Extras. 

In the winter and spring months, hulled corn at supper on Saturdays. 

In August and September these tables are furnished at supper with 
either berries, tomatoes or baked apples, as many as five times a week. 

In eight halls, sauce of either fresh or dried apples is furnished four 
times a week for the rest of the year. 

Extras for the Whole Household. 

All persons have roasted turkey at dinner on Thanksgiving Day and on 
Christmas, with vegetables, celery, cranberry sauce, pudding, pie and cider. 

From four to five bushels of green sweet corn in the ear is consumed in 
its season, daily, with the exception of Sunday. 

Strawberries, tomatoes, cucumbers and melons are furnished in liberal 
quantities in their season. 

In the spring, cowslips and dandelions are largely used as greens, and 
horse-radish as a condiment. 

During eight months of the year, apples are distributed, daily, among the 
patients. 

Beef tea, chicken broth, mutton broth, scalded milk, arrow-root gruel, 
oatmeal gruel, milk punch, cracked wheat, oatmeal porridge, dry toast, 
milk toast, toast with dropped egg and boiled eggs, for invalids and all 
who are not able to take the regular fare. 

1 At least three vegetables in the summer. 

2 All baked puddings for the whole household are made with milk. 

3 Maple syrup is furnished, in place of molasses, tbree or four times in the spring. 



1906.] 



PUBLIC DOCUMENT — Xo. 21 



21 



AKTICLES MADE IX SEWIXG EOOM. 



Aprons, .... 


. 370 


Milk cloths, . 




90 


Aprons with long sleeves, 


11 


Napkins, . 








. 444 


Bath robes, 


19 


Night gowns, 








. 132 


Bureau covers, 


332 


Night caps, 








28 


Canvas chair seats, 


6 


Ox blankets, 








18 


Caps, .... 


239 


Pillow cases, 








1,453 


Chapel dresses, 


17 


Pillow ticks, 








377 


Chemises, 


45 


Rugs, 








24 


Cloth bags, 


213 


Sheets, . 








375 


Corset covers, 


24 


Shirts, . 








619 


Curtains, 


187 


Shirt waists, 








12 


Cushion covers, 


24 


Skirts, . 








135 


Drawers, .... 
Dresses, .... 


213 
192 


Table cloths, 
Towels, . 








112 
3,661 


Mattress ticks, 


155 


Articles repair 


ed, . 






32,929 



UPHOLSTERY DOXE IN THE YEAR. 



Hair mattresses made, new material, 
Hair mattresses made, new ticks, . 
Hair mattresses made, old material, 
Hair pillows made, new material, 
Hair pillows made, new ticks, 
Hair pillows made, old material, . 
Feather pillows made, new ticks, . 



8 
67 
99 
24 
161 
90 
74 



■2'2 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



FARM PEODUCTS. 



Apples, 480 barrels, 


$960 00 


Asparagus, 19 bushels, 


57 00 


Beans, string, 71 bushels 


35 50 


Beans, Lima, 141 bushels 


141 00 


Beef, 25,330 pounds, 


1,677 15 


Beet greens, 12 bushels, 


6 00 


Beets, sugar, 286 bushels 


114 40 


Beets, table, 513 bushels 


209 20 


Broom corn, 1,90C 


► 


bushels, 


114 00 


Broom corn seed, 9C 




bushels, 


54 00 


Cabbage, 4,163 heads, 


172 28 


Carrots, 336 bushels, 


137 80 


Celery, 247 dozen, . 


247 00 


Chicken, 1,286 pounds, 


261 20 


Cider, 1,030 gallons, 


123 60 


Corn, green, 285 bushels 


285 00 


Corn, shelled, 800 bushels 


480 00 


Corn stalk, 55 bushels, 


275 00 


Cucumbers, 127 bushels 


63 50 


Currants, 163 quarts, 


16 30 


Eggs, 567 dozen, 


168 80 


Ensilage, 350 tons, . 


1,175 00 


Cherries, 118 quarts, 


11 80 


Grain, rye, 100 bushels, 


70 00 


Hay, Earle & Jewett lots 




44 tons, 


660 00 


Hay, first growth, 3 2C 




tons, 


4,800 00 


Hay, second growth, 82 




tons, 


996 00 


Hay for bedding, 5 tons 


40 00 


Ice, 600 tons, . 


600 00 


Lettuce, 53 bushels, 


53 00 


Lumber, 18,000 feet, 


450 00 



Melons, musk, 3,300 

pounds, 
Melons, water, 12,495 

pounds, 
Milk, 271,568 quarts, 
Onions, 369 bushels, 
Oats on straw, 4 tons, 
Oat straw, 4 tons, . 
Parsley, 8 bushels, . 
Parsnips, 200 bushels, 
Peaches, £ bushel, . 
Pears, 40 bushels, . 
Pease, 103 bushels, . 
Peppers, 3 bushels, . 
Pigs, roast, 2, . 
Plums, 2 bushels, . 
Pork, 36,079 pounds, 
Posts, 60, . 

Potatoes, 1,460 bushels, 
Quince, 9 bushels, . 
Raspberries, 213 quarts. 
Rhubarb, 129 bushels, 
Rye straw, 5 tons, . 
Sage, 6 bushels, 
Spinach, 194 bushels, 
Squash, summer, 99 

bushels, 
Squash, winter, 12 tons, 
Strawberries, 2,450 

quarts, . 
Swiss chard, 390 bushels 
Turnips, English, 10 

bushels, 
Turnips, Swede, 1,200 

bushels, 
Veal, 832 pounds, . 
Wood, 36 cords, 



Amount carried forward, 



$33 00 

124 95 
13,578 40 

186 75 
60 00 
40 00 

8 00 
120 00 

1 00 
80 00 

103 00 
3 00 

5 00 
3 00 

2,648 03 

15 00 

876 00 

9 00 
21 30 
96 75 
75 00 

6 00 
145 50 

49 50 
240 00 

245 00 
195 00 

2 50 

300 00 

99 84 

108 00 



$33,933 05 



190(3.] PUBLIC DOCUMENT — No. 21. 23 

Amount brought forward, $33,933 05 

Sales : — 

Cows, 2, $80 00 

Calves, 31, 290 00 

Horses, 2, 385 00 

Hides, 187 03 

Ice, 3 (58 

Oxen, 512 20 

Pigs, 520, 1,729 99 

Rent, 110 00 

Roosters, 9, 11 77 

Sand . 36 35 

Miscellaneous, 44 35 

3,390 37 



Total, $37,323 42 

Live stock belonging to the hospital : — 

Cows, 84, f 5,260 00 

Heifers, 13, 570 00 

Calves, 11, 220 00 

Bulls, 3, 250 00 

Oxen, 18, 1,800 00 

Steers, 4, 300 00 

Horses, 16, 3,025 00 

Swine, 276, 2,330 00 

Fowls, 310, 232 50 

$13,987 50 



24 



NORTHAMPTON STATE HOSPITAL. 



[Dec, 



OFFICEES AXD EMPLOYEES. 



[Time employed, Nov. 30, 1906.] 



XA.5IE8. 



Years. 



Days. 



John A. Houston, M.D., superintendent, . 
Harriet M. Wiley, M.D., assistant physician, 
Charles H. Dean, M D., assistant physician, 
Edward W. Whitney, M.D., assistant physician 
Grace E. B. Rice, M.D., assistant physician, 
C. Stanley Raymond, M.D., assistant physician 
Lewis F. Babbitt, treasurer, 
George T. Gilbert, engineer, 
John Mercier, farmer, .... 

Joseph G. Cook, farmer, .... 

Susan E. Warren, matron, .... 

Burton G. Fiske, superintendent of nurses, 
Mary E. Root, superintendent of nurses, . 
Alice E. Bedell, assistant superintendent of 
nurses, ....... 

Lucy A. Gilbert, clothes marker, 

George N. Drury, steward, 

Mattie G. Jones, secretary to superintendent 

Helen M Bailey, stenographer, 

William J. Moore, assistant steward, 

Herbert W. Root, assistant steward, . 

Herbert E. Walker, baker, 

J. E. Cook, assistant baker, 

Susie A. Metcalf, seamstress, . 

Helfrid X. Lawson, assistant seamstress, 

Charles E Williams, laundryman, . 

Margaret Sweeney, laundress, . 

Lillian Ellsworth, laundress, . 

Marie Lester, laundress, .... 

Ellen Moore, laundress, .... 

Fred Aldrich, nurse 

James Campbelle, fireman, 
Charles Rathburn, nurse, .... 
Alexander Beaton, nurse, .... 
Robert A. Pike, nurse, .... 
Orrin B. Blodgett, nurse, .... 
Harold McNeil, nurse, .... 
Raymond Ormsby, nurse, .... 
Fred R. Noyes, nurse, .... 
Frank H. Bohmer, nurse, .... 
Harry McCoy, nurse, ..... 
Thomas C. Fickett, nurse, .... 
Frank Keyes, nurse, 



17 

6 
6 
1 
3 

15 

4 

39 

12 
3 
3 

3 
38 

9 
13 

10 
7 
8 
7 
2 

9 

1 
1 
1 

7 
3 
2 

1 
6 
1 
1 
1 
1 
1 
1 
2 



2 

9 
6 
o 

5 
1 
2 
4 
4 
8 
2 
11 

11 

10 
2 
4 
5 
1 
6 
8 
9 
6 

10 
2 
9 

11 
6 
5 
7 



6 
6 

1 
3 
3 
2 
1 
1 
5 
11 



7 
29 
21 
11 

27 

IS 



5 

8 
8 
2 

28 
17 

11 
26 
3 
22 
18 

2 
19 
29 
27 
11 
13 
2 
1 
16 

17 

12 
23 
18 
9 
28 
20 
11 
25 



1906.] 



PUBLIC DOCUMENT — No. 21. 



25 



NAMES. 


Years. 


Months. 


Days. 


Alonzo C. Roberts, nurse, 


1 


1 


9 


George Metcalf, nurse, 












1 


6 


20 


L. L. Edwards, nurse, 












- 


6 


21 


Timothy O'Brien, nurse, 












- 


6 


9 


C. M. Pease, nurse, . 












- 


6 


5 


J. Homer Moran, nurse, 












- 


5 


25 


Robert Jackson, nurse, 












_ 


5 


18 


Leon C. Bruce, nurse, 












- 


5 


- 


John Morlin, nurse, . 












_ 


4 


- 


Alvin L Mank, nurse, 












- 


3 


1 


A. B. Bouley, nurse, . 












- 


3 


- 


Fred C. Colthurst, nurse, 












- 


2 


15 


William J. Paine, nurse, 












_ 


2 


5 


A. V. Elmer, nurse, . 












_ 


5 


5 


Arthur Joslyn, nurse, 












_ 


1 


26 


John E. Harkness, nurse, 












_ 


1 


23 


Charles H. Cone, nurse, 












_ 


- 


25 


Harry F. Black, nurse, 












_ 


- 


20 


Joseph A. Burns, nurse, 












- 


- 


15 


Belle McLaurin, nurse, 












4 


8 


10 


Daisy Colton, nurse, . 












3 


7 


24 


Kate Riley, nurse, 












3 


- 


23 


Effie Mahy, nurse, 












2 


4 


24 


Clara La Due, nurse, 












2 


2 


29 


Madalena Rice, nurse, 












2 


1 


15 


Elizabeth Graham, nurse, 












2 


_ 


11 


Emily A. Stewart, nurse, 












2 


_ 


_ 


Bessie M. Lane, nurse, 














10 


25 


Margaret Smith, nurse, 














10 


16 


Sadie Brown, nurse, . 














9 


28 


Lillian Brown, nurse, 














9 


4 


Elida Hervieux, nurse, 














8 


9 


Ava R. Allyn, nurse, . 














7 


27 


Corrinne Blodgett, nurse, 














5 


26 


Eulalie Lamb, nurse, 














4 


7 


Mary Sullivan, nurse, 














2 


2 


Hannah Bollivar, nurse, 














2 


1 


Marie Bollivar, nurse, 














2 


1 


Alice Robinson, nurse, 














1 


14 


Ima Coy, nurse, . 














1 


1 


Phoebe Wheeler, nurse, 












- 


10 


20 


Sophie Heizman, nurse, 












- 


8 


15 


Annie Edwards, nurse, 












- 


5 


21 


Mabel James, nurse, . 












_ 


5 


22 


Niola Watson, nurse, 












_ 


5 


19 


Mary E. James, nurse, 












_ 


4 


11 


Louise Coulter, nurse, 












_ 


4 


27 


Annie Wilson, nurse, 












_ 


3 


24 


Gertrude Wilson, nurse, 












_ 


3 


24 


L. Mank, nurse, . 












_ 


3 


1 


Mary Cunningham, nurse, 












- 


2 


16 


Clara Kent, nurse, 












_ 


1 


27 


May Conelly, nurse, . 












- 


1 


21 


May Hobus, nurse, . 












_ 


1 


21 


Sarah Mank, nurse, . 












- 


1 


21 



2(3 



NORTHAMPTON STATE HOSPITAL. 



[Dec, 



NAMES. 


Years. 


Months. 


Days. 


Amy Yeo, nurse, 




1 


16 


Pearl Simmons, nurse, 






- 


1 


16 


Margaret Beards worth, usher, . 






1 


4 


10 


Harriet Briggs, rear housework, 






5 


3 


22 


Gertrude Hilton, dining-room, . 






2 


6 


2 


Edith Ryan, center housework, 






3 


- 


20 


Walter D. Newton, assistant enginee 


r, 




6 


10 


16 


Ellis A. Potter, fireman, . 






2 


7 


25 


George Thornily, florist, . 






13 


7 


11 


Sifroi Belleville, carpenter, 






35 


5 


29 


Albert De Grandpre, carpenter, 






1 


10 


- 


Walter Tower, carpenter, . 






27 


10 


- 


Alfred Parenteau, painter, 






39 


3 


17 


Thomas P. Clair, plumber, 






8 


7 


1 


Roscoe Tobin, plumber, . 






4 


- 


28 


James Ryan, fireman, 






3 


2 


17 


Martin Sornborger, mechanic, . 






3 


- 


6 


Bernard Kilkenney, mechanic, . 






8 


3 


12 


David Mercier, coachman, 






29 


9 


13 


Xavier Dion, farmer, 






13 


5 


16 


B. McNamara, farmer, 






8 


7 


8 


Benjamin W. Read, farmer, 






7 


1 


- 


Henry Egleston, farmer, . 






4 


5 


27 


Henry Fuller, farmer, 






5 


9 


2 


Joseph Young, farmer, 






1 


8 


- 


Joseph Berube, farmer, . 






2 


5 


26 


Tom Drozdial, farmer, 






2 


- 


- 


Edgar Styles, kitchen, 






1 


4 


20 


Walter C. Streeter, herdsman, . 






3 


3 


1 


Harry W. Love, watchman, 






2 


11 


21 


Wendell C. Davis, farmer, 






1 


1 


21 


Harry B. Ballard, farmer, . 






- 


6 


27 


H. Ohrstrom, gardener, 






- 


5 


25 


Thomas Crafts, farmer, . 






- 


3 


17 


George Cutting, farmer, . 






- 


3 


23 


R. VV. Gillett, farmer, 






- 


3 


3 


A. F. Sibley, farmer, . 






- 


3 


2 


E. S. Linscott, farmer, 






- 


3 


1 


J. N. Hamilton, farmer, . . . 






- 


3 


- 


Peter Brulotte, assistant engineer, 






- 


- 


17 


John W. Howe, kitchen, . 






2 


2 


25 


Ada Hilton, housework, . . . 






1 


1 


14 


Clara Adams, kitchen, 






1 


- 


15 


Martha Adams, kitchen, . 






- 


10 


25 


A. C. Burnett, painter, 






- 


6 


28 


Agnes Gnoctic, kitchen, . 






- 


4 


- 


Victoria Fititcizcli, kitchen, 






- 


3 


27 


Helen Heffernan, kitchen, 






- 


4 


- 


Jenny Pedersen, housework, . , 






- 


2 


27 


Kate Sullivan, kitchen, 






- 


2 


24 


Mary McGowan, cook, . . . 






- 


2 


- 


Elizabeth Roy, housework, 






- 


1 


26 


Cora Roy, center dining-room, . 








1 


26 



1906.] 



PUBLIC DOCUMENT — No. 21. 



27 



LIST OF PERSONS REGULARLY EMPLOYED 

AT THE NORTHAMPTON STATE 

HOSPITAL. 



Superintendent and physician, . 


per year, $3,000 00 


Assistant physician, .... 






1,200 00 


Assistant physician, .... 






1,000 00 


Assistant physician, . 






700 00 


Assistant physician, .... 






700 00 


Assistant physician, .... 






500 00 


Treasurer and clerk, .... 






1,800 00 


Engineer, with house rent, 






1,200 00 


Farmer, 






900 00 


Farmer, 






780 00 


Florist, without board, 
Matron, 






700 00 
per month, 35 00 


Superintendent of nurses, . 






40 00 


Superintendent of nurses, . 






40 00 


Assistant superintendent of nurses, 






35 00 


Secretary to superintendent, 






38 00 


Stenographer, .... 






30 00 


Seamstress, .... 






25 00 


Assistant seamstress, 






20 00 


Laundry man, .... 






50 00 


Laundresses (four), . 






18 00 


Baker, 






60 00 


Assistant baker, 






45 00 


Steward, with partial board, 






60 00 


Assistant steward, 






50 00 


Assistant steward, 






40 00 


Nurses (men, thirty-two), 






f 21 00 to 33 00 


Nurses (women, thirty-eight), . 






14 00 to 25 00 


Usher, 






18 00 


Housemaids (four), . 








$16 00 to 18 00 


Waitress, . 








18 00 


Waitress, . 








18 00 


Waitress, . 








16 00 


Cooks (three), . 








$20 00 to 30 00 


Kitchen girls (five), . 








14 00 to 16 00 


Clothes marker, . 








25 00 



_> NOKTHAMPTON STATE HOSPITAL. [Dec. 

Painter, per. month, 

Painter, " 

Assistant engineer (two), " 

Firemen (two), " 

Fireman, " 

Coachman, " 

Farm laborers (sixteen), " 

Herdsman, " 

Carpenter, " 

Carpenter, per day, 

Carpenter, " 

Plumber, 

Plumber, per month, 

Plumber, " 

Mechanic, " 

Mechanic, " 

Watchman, " 

Gardener, ........" 

Kitchen helper (two), " 



860 00 


50 00 


$35 00 to 55 00 


33 00 to 40 00 


35 00 


40 00 


f 25 00 to 30 00 


35 00 


60 00 


2 00 


2 75 


2 25 


82 50 


40 00 


35 00 


50 00 


35 00 


50 00 


$28 00 to 30 00 



1906.] 



PUBLIC DOCUMENT — No. 21. 



29 



TREASURER'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I herewith submit my annual report of the finances of the 
Northampton State Hospital for the fourteen months ending 
Nov. 30, 1906 : — 

Assets. 
Five hundred and eleven acres of land, 
Hospital building, 



Farmhouse, . 
Brick house, 
Six dwellings, 
Storehouse, shops 
Two barns, . 
New cow stable 
Horse stable, 
Piggery, . 
Lumber shed, 
Cart shed, . 
Pump house, 
Two ice houses, 
Paint house, 



and cold 



storage, 



Personal Estate 
Inventory of Stock and Supplies on Hand Nov. 30, 1906. 

Live stock on farm, $13,987 50 

Produce of farm on hand, 13,252 06 

Carriages and agricultural implements, . . 4,117 00 

Machinery and mechanical fixtures, . . . 21,750 00 

Beds and bedding in inmates' department, . 16,000 00 

Other furniture in inmates' department, . . 12,000 00 

Personal property of State in superintendent's 

department, 
Ready-made clothing, 



Dry goods, . 
Provisions and groceries, 
Drugs and medicines, 
Fuel, .... 



Amount carried forward, 



$56,900 00 

600,000 00 

1,500 00 

1,700 00 

4,000 00 

30,000 00 

5,000 00 

13,000 00 

6,000 00 

3,000 00 

850 00 

400 00 

500 00 

300 00 

500 00 



$723,650 00 



10,000 00 
1,712 66 
1,350 30 
9,979 61 
600 00 
8,853 00 

|113,602 13 



30 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Amount brought forward, 



Library, 

Tobacco, 

Other supplies undistributed, 

Receipts. 
Cash on hand Oct. 1, 1905, . 
Received from individuals for support of pa 

tients, 

Received from individuals, reimbursements, 
Received from soldiers 1 relief, . 
Received from sales, farm produce, . 
Received from sales, miscellaneous articles, 
Received from interest on bank deposit, . 
Received from State Treasurer for current ex 

penses, 

Received from State Treasurer for special ap 

propriation, 



$113,602 13 

1,250 00 

155 00 

3,804 50 


$118,811 63 

$2,530 19 





$37,775 82 

9,201 13 

126 74 

3,390 37 

2,077 68 

125 00 

180,850 13 
9,191 44 



242,738 31 



Total receipts, $245,268 50 



Detailed Expenses, Sept. 30, 
Salaries, wages and labor : — 
Medical service, . 
Ward service, 
General administration, 
Repairs and improvements, 
Farm, stable and grounds, . 

Food : — ' 

Butter, 

Beans, 

Bread and crackers, . 
Cereals, rice, meal, etc., 
Cheese, .... 

Eggs, 

Flour, 

Fish 

Fruit 

Meats, 

Milk 

Molasses and syrup, . 

Sugar, 

Sundries, .... 
Tea, coffee and broma, 
Vegetables, .... 



1905, to Nov. 30, 1906. 



Amounts carried forward, 



$7,566 46 


22,088 32 


17,347 09 


6,815 90 


9,426 37 


ftfiS 044 \\ 




$6,739 75 


331 54 


676 07 


1,313 48 


377 49 


7,199 36 


5,175 93 


2,495 77 


2,244 19 


8,362 85 


1,300 50 


609 32 


3,619 02 


798 98 


1,468 47 


1,049 74 


$43,762 46 $63,244 14 



1906.] 



PUBLIC DOCUMENT — No. 21 



31 



Amounts brought forward^ . 

Yeast and baking powder, . 
Salt, 



$43,762 46 $63,244 14 



Clothing and clothing materials : — 
Boots, shoes and rubbers, - 
Clothing, 

Dry goods for clothing, 
Furnishing goods, 
Hat and caps, 
Leather and shoe findings, 
Sundries, 



Furnishings : — 
Beds, bedding and table linen, 
Brushes, brooms, etc., 
Carpets, rugs, etc., 
Crockery, glassware, etc., 
Furniture and upholstery, 
Kitchen furnishings, . 
Woodenware, buckets and pails, 
Sundries, 



Heat, light and power : — 
Coal, . 
Electricity, . 
Gas, 
Oil, . 
Sundries, 



Repairs and improvements : — 

Brick, * 

Cement, lime and plaster, . 

Doors, sashes, etc., .... 

Electric work and supplies, 

Hardware, 

Lumber, . . . , - . 

Machinery, etc., 

Paints, oil, glass, etc., . 

Plumbing, steam fitting and supplies, 

Roofing and materials, 

Mechanics and laborers not on pay roll, 

Sundries, 

Cold storage, 



Farm, stable and grounds : — 
Blacksmith supplies, . 
Carriages, wagons and repairs, 

Amounts carried forward, 



403 45 




130 75 






44,296 66 




$1,070 61 




1,764 98 




2,031 77 




213 99 




105 10 




16 00 




45 47 






5,247 92 




$2,739 65 




121 75 




62 20 




856 92 




1,678 12 




69 57 




5 35 




1 50 






5,535 06 




$16,739 42 




34 57 




126 42 




217 75 




614 60 






17,732 76 


$304 51 


211 45 




308 63 




1,215 32 




3,142 80 




1,844 50 




159 17 




2,074 35 




1,218 25 




82 10 




3,253 31 




59 54 




463 79 





$486 15 
1,393 93 



14,337 72 



$1,880 08 $150,394 26 



32 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Amounts brought forward, 

Fertilizers, vines, seeds, etc., 

Hay, grain, etc., . 

Harnesses and repairs 

Cows, . 

Horses, 

Other live stock, . 

Rent, . 

Tools, farm machines, etc., 

Sundries, 

Labor not on pay roll 

Miscellaneous : — 
Books, periodicals, etc., 
Chapel services and entertainments, . 
Freight, expressage and transportation, 
Funeral expenses, .... 
Labor not on pay roll, 
Medicines and hospital supplies, 
Medical attendance, nurses, and patients boarded 

out, 

Postage, 

Printing and printing supplies, . 
Printing annual report, 
Return of runaways, . 
Soap and laundry supplies, 
Stationery and office supplies, . 
Travel and expenses, official, 
Telephone and telegraph, . 

Tobacco, 

Water, 

Sundries, 



$1,880 08 $150,394 26 



Total expenses for fourteen months, 
Paid from special appropriations, 
Receipts paid to State Treasurer, 



Total expenditures, 



1,495 23 




8,252 56 




241 95 




1,842 00 




655 00 




1,397 50 




117 14 




509 45 




277 15 




256 55 






16,924 61 




$198 77 




891 00 




1,327 90 




54 00 




186 25 




1,989 03 




635 66 




208 70 




123 25 




165 41 




106 36 




1.768 75 




322 08 




393 66 




214 82 




700 99 




3,614 04 




630 59 






13,531 26 




. . • 


§180,850 13 


$9,191 44 




55,226 93 






64,418 37 






$245,268 50 



Resources and Liabilities. 
Resources. 



Balance of maintenance appropriation with State 

Treasurer, 

Unexpended special appropriations, . 

Total resources 



§10,390 71 
23,564 24 



§33,954 95 



Amount carried forward, §33,954 95 



1906.] PUBLIC DOCUMENT — No. 21. 33 

Amount brought forward, $33,954 95 

Liabilities. 

Salaries, wages and labor, $5,053 78 

Food, 2,437 75 

Clothing, 342 57 

Furnishings, 196 83 

Heat, light and power, 12 46 

Repairs and improvements, .... 297 69 

Farm, stable and grounds, . . . . » 87128 

Miscellaneous, 1,176 53 

Total liabilities, 10,388 89 

Balance for the institution, f 23,566 06 

During the fourteen months the average number of patients has 

been, 768 02 

Dividing the total expenditure for maintenance ($180,850.13) 

by the average number, gives an average annual cost of . $235 47 

Equivalent to an average weekly cost of 3 86 

Statement of Funds. 
Fred B. Kelly Fund. 
Balance on hand Oct. 1, 1905, .... $ 625 09 

Interest to Oct. 1, 1906 35 01 

Balance in Northampton Institution for Savings, . . f 660 10 

Kespectfully submitted, 

LEWIS F. BABBITT, 

Treasurer. 

We have examined, as auditors, the accounts of the treasurer, and found a satis- 
factory voucher for every entry. 

ALVAN BARRUS. 
CHARLES S. SHATTUCK. 



34 NORTHAMPTON STATE HOSPITAL. [Dec. 1906, 



Sz: 

Eh 
x 

r-_i 

X 



ai 
§ 

3 


$619 52 

994 71 

450 00 

01 

' 1,500 00 

17,500 00 

2,500 00 


: 

CO 

eo 
€» 


■a . 
a> a, 

oC 


$65,000 00 

5,880 48 

805 29 

5,050 00 

3,999 99 


e 

CO 

© 

00 

«e 


Total 
Expendi- 
tures since 

Last 
Statement. 


$3,234 60 
1,956 85 

3,999 99 


OS 


.2 g" 

x'O'S. 


$1,956 85 


00 

CO 

UTS 

Os. 


Repairs 

and 
Improve- 
ments. 


$3,999 99 


OS 

OS 

OS 

OS 

0» 

CO 


Total 
Buildings 

and 
Additions. 


i i i i i i i i 


• 


Farm, 
Stable and 
Grounds. 


i i i i i i i i 


■ 


For 
Patients 

and 
Nurses. 


$3,234 60 


© 

CD 

CO 

eo" 


"3 


i i i i i i i i 


i 


Whole 
Amount. 


$65,000 00 
6,500 00 
1,800 00 
5,500 00 
4,000 00 
1,500 00 
17,500 00 
2,500 00 


© 
© 

© 
© 

CO 

© 


4) 
> 
O 


eo" ^ •«*" o us" iO cd" to" 
©©©©©©©© 
OS os os OS os os o> OS 


• 


O 

n 

o 


Infirmary, north wing, . 
Furnishing men's infirmary, 
Installing telephones and clocks, . 
Purchase of land and buildings, . 
Engine and electric generator, 
Construction of hothouse, 
Installation of better water supply, 
Paint house and workshop, . 


o 



STATISTICAL TABLES. 



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38 



NORTHAMPTON STATE HOSPITAL. 



[Dec 



2. — Insane receiced on First and Subsequent Commitments. 



XUMBEB OF COMMITMENTS. 



Cases committed. 



Males. Females. 



First to this hospital, .... 


116 


101 


217 


Second to this hospital, .... 


14 


14 


28 


Third to this hospital, .... 


5 


2 


7 


Fifth to this hospital, .... 


1 


- 


1 


Seventh to this hospital, 


- 


1 


1 


Total cases, 


136 


118 


254 


Total persons, 


135 


118 


253 


Never before in any hospital for insane, 


106 


92 


198 



1906.] 



PUBLIC DOCUMENT — No . 2 1 



39 



3. — Nativity and Parentage of Insane 

Any Hospital. 



Persons first admitted to 





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


ed 
Hi 


00 

fa 


09 

O 




Da 

£ 

fa 


CO 

O 


.2 

a- 


oo 

h 
J3 

6h 


oo 
u 

V 

o 


Massachusetts, 


44 


19 


20 


36 


14 


20 


80 


33 


40 


Other New England States, . 


13 


19 


15 


9 


12 


7 


22 


31 


22 


Other States, .... 


12 


8 


11 


13 


8 


8 


25 


16 


19 


Total native, . 


69 


46 


46 


58 


34 


35 


127 


80 


81 


Other countries : — 




















Austria, 


1 


2 


2 


4 


4 


4 


5 


6 


6 


Bohemia, .... 


1 


- 


- 


- 


- 


- 


1 


- 


- 


Canada, 


7 


11 


11 


7 


12 


10 


14 


23 


21 


England, .... 


2 


3 


2 


1 


1 


1 


3 


4 


3 


France, . . 


1 


2 


2 


- 


- 


- 


1 


2 


2 


Germany, .... 


2 


3 


3 


1 


3 


3 


3 


6 


6 


Ireland, 


15 


29 


30 


14 


29 


30 


29 


58 


60 


Italy, 


- 


- 


- 


1 


1 


1 


1 


1 


1 


Poland, 


3 


3 


3 


n 


2 


2 


5 


5 


5 


Russia, 


3 


3 


3 


- 


- 


- 


3 


3 


3 


Scotland, .... 


2 


2 


2 


2 


2 


2 


4 


4 


4 


Sweden, 


37 


58 


58 


1 

33 


1 
55 


1 
54 


1 


1 


1 


Total foreign, . 


70 


113 


112 


Unknown, .... 


- 


2 


2 


1 


3 


3 


1 


5 


5 


Totals, .... 


106 


106 


106 


92 


92 


92 


198 


198 


198 



40 



NORTHAMPTON STATE HOSPITAL. [Dec, 



4. — Residence of Insane Persons admitted by Commitment. 











First admitted 
ito Any Hospital. 


All Other 
Admissions. 


Totals. 


PLACES. 


OB 


X 
V 

S3 

E 

a 


X 


CD 
V 

OS 

3 


■ 

"3 
E 

V 


.22 
o 


■ 


■ 
8 

S 


X 

03 
O 

H 


Hampshire County, 
nampden County, 
Berkshire County, 
Franklin County, 








18 
47 
13 

28 


20 
55 
4 
13 


38 
102 
17 
41 


4 
13 

1 
10 


4 

13 

5 

5 


8 
26 

6 
15 


22 
60 
14 

38 


24 

68 
9 
18 


46 
128 
23 
56 


Totals, 
Unknown, 


106 


92 


198 


28 


27 


55 


134 


119 


253 


Totals, 
Cities and towns, 
Country districts, 


106 
81 
25 


92 
78 
14 


198 
169 
39 


29 
17 
11 


27 

20 
7 


56 
37 
18 


135 
98 
36 


119 

98 
21 


254 
196 
57 


Totals, 


106 


92 


198 


28 


27 


55 


134 


119 


253 



5. — Civil Condition of Insane Persons first admitted to Any 

Hospital. 





Males. 


Females. 


Totals. 


Unmarried 


39 


38 


77 


Married, 


56 


37 


93 


Widowed 


11 


15 


26 


Divorced, 


- 


2 


2 


Unknown 


- 


- 


- 


Totals 


106 


92 


198 



1906.] 



PUBLIC DOCUMENT — No. 21 



41 



6. — Occupation of Insane Persons first admitted to Any Hospital. 



MALES. 



Advertising agent, 




1 


Machinists, .... 


2 


Artist, . 




1 


Mechanic, .... 


1 


Baker, . 




1 


Metal worker, 


1 


Bank cashier, 




1 


Milliner, .... 


1 


Barber, 




1 


Musicians, .... 


2 


Bartender, . 




1 


Operatives, .... 


12 


Bell boys, . 




2 


Painters, .... 


5 


Butter maker, 




1 


Peddler, .... 


1 


Carpenters, . 




4 


Photographer, 


1 


Cigar makers, 




2 


Physician, .... 


1 


Contractor, . 




1 


Railroad section hand, 


1 


Cutlery polisher, 




1 


Salesman, . 


1 


Dentists, 




2 


Shoemakers, 


2 


Electricians, 




2 


Stationary engineers, . 


3 


Engineers, . 




2 


Steam fitter, 


1 


Farmers, 




8 


Stone mason, 


1 


Farm laborers, . 




3 


Teacher, .... 


1 


Filer, . 




1 


Teamster, .... 


1 


Firemen, 




2 


Trunk maker, 


1 


Granite dealer, . 




1 


Wood chopper, . 


1 


Laborers, . 




20 

1 


No occupation, . 
Total, . 


7 


Liquor dealer, 


106 



42 



NORTHAMPTON STATE HOSPITAL. [Dec. 



6. — Occupation of Insane Persons first admitted to Any Hospital 

— Concluded. 



FEMALES. 



Bookkeeper, 


1 


1 
Operatives, .... 


17 


Domestics, .... 


11 


Stenographer, 


1 


Dressmaker, 


1 


Students, .... 


2 


Housekeepers, . 


9 


Tailoress, .... 


1 


Medium, .... 


1 
1 


No occupation, . 

Total, .... 


21 


Milliner, .... 


66 



WIFE OF 



Armorer, .... 


1 


Moulder, .... 


1 


Druggist, .... 


1 


Operative, .... 


5 


Engineer, .... 


3 


, Peddler, .... 


1 


Farmer, .... 


6 


Shoemaker, .... 


1 


Laborer, .... 


4 

1 


Telegrapher, 

Total, .... 


1 


Leather worker, . 


26 


Mason, .... 


1 







1906.] 



PUBLIC DOCUMENT — No. 21. 



43 







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1906.] 



PUBLIC DOCUMENT — Xo. 21. 



45 



9. — Probable Duration of Mental Disease before Admission. 













First admitted to Any Hospital. 


PREVIOUS DURATION. 


Males. 


Females. 


Totals. 


Congenital, 










15 


9 


24 


Under 1 month, 










19 


10 


29 


From 1 to 3 months, 










14 


12 


26 


3 to 6 months, 










12 


6 


18 


6 to 12 months, 










7 


8 


15 


1 to 2 years, 










15 


14 


29 


2 to 5 years, 










13 


11 


24 


5 to 10 years, 










4 


7 


11 


10 to 20 years, 










3 


7 


10 


Over 20 years, 










2 


4 


6 


Totals, . 


104 


88 


192 


Unknown, 










2 


4 


6 


Totals, . 


106 


92 


198 


Average known duration (in years), 




1.77 


3.8 


2.76 






NORTHAMPTON -FATE HOSPITAL, 



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1906.] 



PUBLIC DOCUMENT — No. 21. 



47 



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}. 1 . i £ . « £ 1 . . . 


B. — Other admissions 
Insane: — 
Acute alcoholic ins 
Acute delirium, 
Chronic alcoholic i 
Dementia, seconda 
Dementia praecox, 
Epilepsy, 
Huntington's chore 
Involution psychoe 
Manic-depressive i 
Mental deficiency, 
Organic dementia, 
Paranoia, 
Paresis, . 
Senile dementia, 
Morphine habit, 
Not insane, . 


Total B, . 
Aggregate cases, 
Aggregate persons 



3 



NORTHAMPTON STATE HOSPITAL. TDec, 





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1906.] 



PUBLIC DOCUMENT — No. 21 



49 



§2 

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General diseases : — 

Carcinoma, 

Diabetes, 

Erysipelas, 

Typhoid fever, 

Senility, 

Septicaemia, 

Epilepsy 

General paralysis of insane 

Huntington's chorea, 

Anosmia, 

Cerebral hemorrhage, 

Femoral thrombosis, 

Pernicious anaemia, 

l liaeases of the respiratory system : — 

Pulmonary tuberculosis, ; 

Diseases of the digestive system : — 

Intestinal obstruction, 

1 ►iseases of the genitourinary system : — 

Chronic nephritis, . 


to 

3 

o 



50 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 






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Public Document No. 21 



FIFTY-SECOND ANNUAL REPORT 



THE TEUSTEBS 



NORTHAMPTON STATE HOSPITAL, 



Year ending November 30, 1907. 




BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Squaee. 

1908. 



Public Document 



No. 21 



FIFTY-SECOND ANNUAL REPORT 



THE TRUSTEES 



NORTHAMPTON STATE HOSPITAL, 



FOR THE 



Year ending November 30, 1907 




BOSTON: 

WEIGHT & POTTEE FEINTING CO., STATE PEINTEES, 

18 Post Office Square. 

1908. 

ft 



NOV 3( 

STATE HOU! 



Approved by 
The State Board of Publication. 



)fof 



CONTENTS 



PAGE 

List of Officers, 5 

Report of Trustees, 7 

Report of Superintendent, 9 

Report of Treasurer, 28 

Statistics, 37 



OFFICERS 



NORTHAMPTON STATE HOSPITAL, 



TRUSTEES. 

HENRY L. WILLIAMS, Secretary Northampton. 

CHARLES S. SHATTUCK, Hatfield. 

ALVAN BARRUS, Chairman, Goshen. 

SARAH A. WOODWORTH, Chicopee. 

CAROLINE A. YALE Northampton. 

F. W. CHAPIN, M.D Springfield. 

WILLIAM D. MacINNES, . . . . ' . . Pittsfield. 



RESIDENT OFFICERS. 
JOHN A. HOUSTON, M.D., . 
CHARLES H. DEAN, M.D., . 
HARRIET M. WILEY, M.D , 
GRACE E. B. RICE, M.D., . 
EDWARD W. WHITNEY, M.D. 
C. STANLEY RAYMOND, M.D. 
LEWIS F. BABBITT, . 
SUSAN E. WARREN, . 
JOHN MERCIER, . 
JOSEPH G. COOK, . 
WAVERLEY D. PACKARD, 



Superintendent. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Assistant Physician. 

Clerk. 

Matron. 

Farmer. 

Farmer. 

Engineer. 



TREASURER. 



LEWIS F. BABBITT, 



Office at the Hospital. 



Northampton. 



(Eotmtumtuealtfj of fteaadjusettB. 



TEUSTEES' EEPOET. 



To His Excellency the Governor of the Commonwealth and the 
Honorable Council. 

The trustees of the Xorthampton State Hospital respectfully 
present their fifty-second annual report. 

Stated meetings of the Board have been held each month at 
the hospital and many visits by individual members of the 
Board have been made, besides frequent conferences of commit- 
tees on special matters. 

Our financial report shows that the weekly per capita cost of 
caring for our patients was $3.76, based on the expenditures 
of the twelve months ending November 30. This is lower than 
for the corresponding months of last year. The high prices of 
supplies of all kinds and the increase in the amount paid out 
for salaries, wages and labor, made necessary by the putting of 
our workmen, mechanics and laborers on a forty-eight hour 
weekly basis, have tended to increase the cost of caring for the 
insane, and we expect the weekly rate for the next year will be 
larger. 

The Legislature of 1907 made the following special appro- 
priations for this hospital : for plumbing fixtures and materials, 
$2,000 ; for electric lights along the driveways, $1,200 ; for the 
purchase of cows, $2,000 ; for machinery for the bakery, $1,000 ; 
for lumber for an ice house, $700 ; and for a greenhouse, $2,100, 
in addition to the appropriation for this purpose made last year. 
We refer to the superintendent's report for a statement of the 
progress of the matters for which these appropriations were 
made. 



8 NORTHAMPTON STATE HOSPITAL. [Dec. 

Legislation, enacted last year and this, has caused a consider- 
able addition to the number of our employees, so that our ac- 
commodations for boarding them are taxed to the limit. If it 
were not that many of them live away from the hospital we 
could not accommodate them ; as it is now our dining rooms are 
crowded. Any further increase in their number will call for an 
additional building, to be used as a dormitory. 

Our nursing force is not at present confined to an eight-hour 
schedule, though deserving it more than any other class of em- 
ployees. We have a ward set apart in each infirmary building 
— men's and women's — which is used as a nurses' home. If 
at any time the nurses are placed on a shorter length of daily 
service we shall have to ask for special appropriations to build 
nurses' homes, and in any event we think this will be desirable 
before long. 

For more specific details of the management of the institution 
and of its financial affairs we refer to the accompanying reports 
of the superintendent and the treasurer. 

HENRY L. WILLIAMS. 
CHARLES S. SHATTUCK. 
ALVAN BARRUS. 
SARAH A. WOODWORTH. 
CAROLINE A. .YALE. 
F. W. CHAPIN, M.D. 
WILLIAM D. MacINNES. 



1907.] PUBLIC DOCUMENT — No. 21 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Northampton State Hospital. 

The following report of the affairs of the hospital for the 
fiscal year ending Nov. 30, 1907, is respectfully submitted. 

The report concerning the movement of population and the 
statistical tables concerning patients, annexed to this report, are 
for the year ending September 30. 

On Oct. 1, 1906, there were 771 patients in the hospital or 
boarded out under our care. During the year 306 patients were 
admitted and 351 were dismissed. These figures do not in- 
clude 33 who were out on visit at the beginning of the year and 
were nominally admitted and discharged. The number remain- 
ing September 30 was 726,-361 male, 365 female. The 
whole number under treatment during the year was 1,110; the 
daily average number was 777, — the largest of any year ex- 
cept 1905. 

The number of admissions was larger than last year, and it 
is to be expected that our daily average for the coming year 
will be larger than for this year, unless it is kept low by trans- 
fers to other institutions. Of the admissions, 293 were by 
direct order of the court, 3 were voluntary, 6 were by transfer 
and 1 was returned from elopement. None of the voluntary 
cases were considered insane. Forty-one per cent, were born 
in Massachusetts; 42 per cent, were foreign born. The mean 
age of all cases admitted was forty-four years. 

Of those who had never before been committed to a hospital 
for the insane, — 242 in number, — 177 had an incurable form 
of insanity. Twenty-five were over seventy years of age. The 
duration of insanity before their admission to the hospital aver- 
aged two and two-tenths years, being more than one year in 
nearly 100 cases. The principal causes of insanity in these 
cases were cerebral hemorrhage in 16, congenital deficiency in 



10 NORTHAMPTON STATE HOSPITAL. [Dec. 

36, senility in 46, intemperance in 66 and hereditary influ- 
ences in 39. In considering the prospects of recovery these 
facts must be taken into account. 

One hundred and forty-four persons were discharged : as re- 
covered, 35 ; as capable of self-support, 29 ; as improved, 49 ; 
as not improved, 28 ; as not insane, 3. One hundred and 
eleven were transferred to the colonies at Grafton and Gardner. 
Thirty-six were on visit at the end of the year. 

Eighty-five patients died, — 7.65 per cent, of all cases under 
treatment. Twenty-five of these died from general causes due 
to old age, 13 of cerebral hemorrhage, 10 of general paresis and 
6 of pulmonary tuberculosis. 

Hospital records in this State show that the percentage of 
recoveries is gradually becoming smaller, and in my opinion 
this must be expected, not because treatment is less skillful or 
scientific than formerly, nor because insanity is less amenable 
to treatment. I believe the superintendent of to-day is more 
conservative in his classification of results. Some of the pa- 
tients who are nearly well are allowed to go home, with the 
hope that recovery will be hastened under the more favorable 
conditions of home influences and surroundings, and for such 
as do recover the hospital is not credited. A considerable num- 
ber of mildly afflicted persons, able to get along comfortably at 
home and to help support themselves, who may be considered 
well by their friends, and who, indeed, may be about as well 
as ever, are not classified on discharge as recovered because, 
from a medical point of view, they are not in a normal mental 
condition. Then our records show that a larger number of cases 
unfavorable for recovery are committed than formerly, princi- 
pally of organic brain disease and congenital and senile cases. 
Many of these latter were cared for at home or in almshouses. 
Those who were physically well were allowed to roam the 
streets of country towns and villages ; being well known to their 
neighbors they were considered harmless and were tolerated in 
the neighborhood, especially as the towns had to pay for their 
support if they were sent to the State hospitals, but now that the 
State has assumed their support they are sent to the hospitals 
in increasing numbers. We also receive many aged and infirm, 
mildly insane or demented, who might be cared for at home if 



1907.] PUBLIC DOCUMENT — No. 21. 11 

some caretaker could be there to look out for them. Conditions 
have changed in recent years. Whereas it used to be easy to 
get piece work that could be taken home, so that the caretaker 
could be earning something and looking after the old person at 
the same time, opportunities to do so are now less frequent, and 
the one who would be caretaker must go from home to earn 
his wages. 

During the past year we have had among the admissions 29 
congenital cases and 36 patients who were seventy years of age 
or older. As shown in former reports, the number of patients 
admitted over seventy years of age has increased from a per- 
centage of less than 2 per year during the first fifteen years of 
the operations of the hospital to a percentage of 12 at present; 
from a yearly average of 2 persons per year to 37 last year and 
36 this year. The admission of so many of these cases alone 
operates to reduce the percentage of recoveries very consider- 
ably. 

In the medical treatment of the insane we rely upon general 
measures to put the patient in good physical health. Elimina- 
tion of the causes that induced the mental disorder, in so far as 
this is possible, and removal of the patient from the associations 
that tended to perpetuate it, with improvement of bodily nutri- 
tion, and mental diversion by means of amusement and occupa- 
tion, are the chief factors in restoring normal mentality. We 
continue to make extensive use of hydrotherapeutics, the pro- 
longed bath and the wet pack. Eor ten years we have made no 
use whatever of restraint, either mechanical or the so-called 
chemical restraint, and have no restraining apparatus in the 
hospital ; and we make no use whatever of hypnotics. 

We encourage amusements of all kinds. A list of the enter- 
tainments will be found later in this report. Patients have 
plenty of occupation in the routine ward work, housekeeping, 
cooking, ironing and making and mending of clothing of a large 
institution. Every year there is, necessarily, in buildings so 
old as these, a great amount of repair work. This is done with 
our own force of mechanics, carpenters and painters, in all of 
which work patients have given much assistance. Our tinware 
and mattresses are made by patients, and much of the repair 
of furniture, especially the cane-seating of chairs, is done by 



12 NORTHAMPTON STATE HOSPITAL. [Dec. 

them. Best of all for patients is the farm work and the digging 
of trenches, grading and caring for lawns. 

Women patients cannot find as much to do on the grounds 
and out of doors, yet many were engaged in picking berries and 
pease in the summer. For some of the women who have noth- 
ing else to occupy them we have begun basketry, and hope it 
will prove to be an excellent means of diversion. 

We have had 10 patients boarded out during the year. One 
of these had to be brought back to this hospital because of illness 
in the family where she was boarding, and 3 were transferred 
from our care to the care of the State Board of Insanity. We 
now have 7 patients boarded out, — 4 at the expense of the hos- , 
pital, 2 supported by friends and 1 self-supporting. 

The training school has had a successful year. Nine nurses 
were graduated: Misses Hannah Bollivar, Lillian Brown, Eliz- 
abeth Graham, Elida Hervieux, Eulalie J. Lamb, Katherine 
Reilly, Alice M. Robinson, Emily Stewart and Margaret E. 
Smith. On October 15 graduating exercises were held, at 
which Rev. Mr. Woods of Hatfield delivered the address and 
several members of the graduating class took part in the lit- 
erary exercises. The presentation of diplomas was followed by 
refreshments and dancing. 

Besides the regular class work, — sixty recitations and fifty- 
five lectures and demonstrations, — ■ there were courses in cook- 
ing by Miss Baer of the Home Culture Clubs and in gymnasium 
work by Miss Eisenbrey of Smith College. 

The training school proves to be of increasing benefit to the 
hospital by reason of attracting a better class of applicants and 
fitting them better to care for the patients. Eourteen of the 
graduates are now in the service of the hospital. 

Miss Root, who has been an efficient superintendent of nurses, 
one of our own graduates, resigned in November to be married 
and the position has not yet been filled. 

The general prosperity of the country during the past few 
years has enabled men to get work easily at good wages, conse- 
quently we have had difficulty in getting and keeping a suffi- 
cient number of men of satisfactory character for attendants. 
At times during the past summer we were decidedly embar- 



1907. J PUBLIC DOCUMENT — No. 21. 13 

rassed for want of enough men to care for the patients. The 
work is not attractive and men do not care to take a long course 
in training, as there is but little demand for trained male 
nurses, and the wages we can offer are not large. It is not 
likely that we can ever keep a sufficient number of good men 
till we can make the positions attractive by shorter hours and 
better wages. If to these we can add homelike accommodations 
for married couples we shall go a long way toward remedying 
the present situation. 

It has been a busy year on the farm and many of the crops 
compare favorably in quantity with those of other years, but 
for some of them weather conditions were unfavorable. There 
was a large hay crop, a small one of potatoes and the yield of 
apples has been small. The orchards have suffered severely 
from San Jose scale and many trees have been destroyed. To 
replenish them we have started a new orchard near Sunset Hill, 
where several hundred trees have been planted. 

We had an epidemic of cholera which caused the death of 
many hogs, nevertheless the yield of pork for the year was 
large, — 38,500 pounds. 

Last year's examination of our herd of cows showed the pres- 
ence of tuberculosis to a considerable degree. All infected ani- 
mals were separated from the sound ones. Many of the former 
showed no physical signs of the disease and when slaughtered 
were found to have but a few small glands infected. Twenty- 
seven new cows were bought, after they had been tested and had 
not reacted. Yet when the annual test of the herd was made 
this fall several of the new ones and one of the old herd reacted. 
That only one of the old herd reacted is encouraging, as it 
seems to show that the old herd is practically immune. We 
have inoculated 22 calves and at the time of the test but one of 
these reacted, and the reaction in this case was doubtful. Con- 
sequently we feel that we have a nucleus for a herd that will 
be free from tuberculosis. 

The total valuation of the farm products is high, as may be 
seen by reference to the table annexed, but this is partly ac- 
counted for by the market valuation of certain crops, which is 
higher than in previous years. 



14 NORTHAMPTON STATE HOSPITAL. [Dec. 

A new silo of a capacity of 175 tons has been erected. 

As in former years, new pieces of land have been cleared and 
fitted for cultivation. 

There have been frequent assemblies of patients, according 
to the custom of many years, for divine worship and for enter- 
tainments. Every Lord's Day afternoon there have been ser- 
vices conducted by one of the clergymen of Northampton or 
some neighboring town. The following list shows the varied 
character of the entertainments, which are always well attended : 
December 1, songs and readings, Mr. Eccles ; December 17, 
card party; December 25, Christmas tree; January 5, drama, 
"Hickory Farm," Mr. Paine and Red Men's Club; February 
4, musicale, nurses and attendants; February 16, musicale, Mr. 
Harrell; February 23, readings and piano recital, Mr. Paine 
and Miss Butler; March 2, readings, Mr. Truman; March 9, 
musicale, Peterson family; March 12, moving pictures, Mr. 
Robinson; March 19, musicale, the Marshalls ; April 5, musi- 
cale, Misses Woods and Miss Wells; April 15, ventriloquism, 
Mr. Bryant; April 17, minstrels, men patients and attendants; 
April 24, violin and songs, Mr. Taggart; April 29, crayon 
artist, Mr. Little; May 6, readings, Miss Elliott; May 15, 
readings, Miss Stallings; May 21, piano and song recital, Miss 
Abell, Miss Fitts and Professor Mills; September 25, musicale, 
Mr. Bill and Mr. Bradley; October 9, stereopticon lecture, Mr. 
Fishback; October 12, impersonations, Mr. Blood; October 15, 
graduating exercises of training school for nurses; October 31, 
Hallowe'en party ; November 7, violin and songs, Mr. Taggart ; 
November 12, readings and songs, Mr. and Mrs. Mills ; No- 
vember 25, readings and songs, Mr. Brigham. In addition to 
the above there have been fifty-six readings, three concerts and 
twenty-six dances. 

The various matters for which special appropriations were 
made in the spring have been attended to and are well under 
way. As reported above, the appropriation for cows has been 
expended. A new dough mixer and other material for the 
bakery have been installed and prove to be very satisfactory in 
operation. Electric lights along the driveway and footpath 
have been installed, with the exception of a short connecting 



1907.] PUBLIC DOCUMENT — No. 21. 15 

length, and will soon be in operation. The greenhouse will be 
ready for use in two or three weeks. Several hundred feet of 
10-inch water pipe have been laid, to give a better water supply 
for fire-protection purposes, and several hydrants have been set 
up. Enough pipe has been purchased and delivered to com- 
plete the circuit of the hospital and will be laid as soon as the 
ground is thawed in the spring. 

It is my great pleasure to record a beautiful gift to the hos- 
pital by Mrs. L. D. James, in memory of Mr. James, who for 
twenty-four years, from 1879 to 1903, as trustee of the hos- 
pital, was active in all that pertained to the management of the 
hospital, and always exhibited the deepest interest in the wel- 
fare of its patients. 

The memorial is a recreation pavilion for the men. It is 
beautifully situated in the grove at the north and east of the 
hospital, protected from the winds of winter and shaded from 
the summer heat, near enough to be easily accessible and to be 
lighted and heated from our main plant. In the summer, cro- 
quet grounds will be laid out near by. Inside, at the right of the 
entrance, is a smoking and card room with fireplace, at the left 
is a billiard room and directly in front is a bowling alley. In 
addition there are toilet rooms and a room for the caretaker. 
This building will be a gathering place for patients throughout 
the day and evening and for employees while off duty. It will 
be greatly appreciated by all who may use it. 

Mr. James was pleased with the pavilion for the women, 
erected several years ago, and had spoken of the need of one 
for the men. It is very fitting that a memorial in his honor 
should have taken this form. 

The hospital has many friends, including former patients 
and their relatives, who frequently show their interest by gifts 
of various kinds. We have thus been generously remembered 
during the year by the following persons, who have our thanks 
for their contributions and not less for their sympathetic in- 
terest : presents for the Christmas tree from Mrs. AY. T. Parker, 
Mrs. J. L. Egbert and Mr. T. L. Beardsworth of Springfield ; 
magazines, papers and books from Mr. C. B. Kingsley of North- 
ampton, Miss A. K. Gorham of Northampton, Messrs. Bridg- 



16 NORTHAMPTON" STATE HOSPITAL. [Dec. 

man & Lyman of Northampton, Mrs. L. D. James of Williams- 
burg. Miss Mattie Y. Lobes of Springfield and Mr. G. L. Eider 
of Springfield; the "Christian Leader," ''''Dumb Animals" 
and " Berkshire County Eagle " have been received regularly. 
The successful management of a hospital depends in great 
measure upon the loyalty and faithful service of officers and 
employees. It is my pleasure to accord acknowledgment of the 
continued faithfulness to duty of my associates. 

JOHN A. HOUSTON, 

Superintendent. 



1907.] PUBLIC DOCUMENT — Xo. 21. 17 



DIETARY OF THE NORTHAMPTON STATE 

HOSPITAL. 



[There are two bills of fare, the first of which is supplied to the tables of about 
three hundred persons, and the second to those of somewhat over three hundred. 
In addition to these, about 190 quarts of egg and milk are taken through the wards 
between meals and at bed time, and distributed to the old, the feeble and the con- 
valescent classes.] 



BILL OF FARE No. 1. 

Breakfast. 
Monday. — Tea, oatmeal, coffee, broiled beefsteak or eggs, potatoes, 

warm rolls ( " biscuit " ) , bread and butter. 
Tuesday. — Tea, coffee, oatmeal, fried tripe, 1 potatoes, warm rolls, 

bread and butter. 
Wednesday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes 

and warm brown (rye and Indian) bread. 
Thursday. — Tea, coffee, oatmeal, broiled beefsteak, potatoes, warm 

rolls, bread and butter. 
Friday. — Tea, coffee, oatmeal, fried tripe, 1 potatoes, warm rolls, bread 

and butter. 
Saturday. — Tea, coffee, oatmeal, either fried fish-balls or liver, meat 

hash, hot corn cake, bread and butter. 
Sunday. — Tea, coffee, oatmeal, eggs, potatoes, warm rolls, bread and 

butter and fried Indian corn pudding. 

Dinner. 
Monday. — Roast beef, potatoes and one other vegetable, 2 bread and 

butter, boiled rice with syrup or sugar. 
Tuesday. — Vegetable soup, roast or stewed veal, 3 potatoes and one 

other vegetable, 2 bread and butter, and baked Indian pudding. 
Wednesday. — Either roasted or boiled mutton, potatoes and one other 

vegetable, 2 bread and butter, and berry or apple pudding, with 

sauce. 4 
Thursday. — Vegetable soup, corned beef, potatoes and one other 

vegetable, 2 bread and butter, and boiled suet pudding, with syrup. 

1 Tripe is replaced in winter by sausages, and in spring by fried ham and eggs, except in 
the season of shad, when that fish is given once each week instead of ham and eggs, and 
once instead of beefsteak. 

2 At least three vegetables during the summer. 

3 Substituted in winter by fresh pork ribs, roasted. 

4 In spring, maple syrup is used as sauce for puddings. 



18 NORTHAMPTON STATE HOSPITAL. [Dec. 

Friday. — Either fried or baked fresh fish/* or stewed or roasted veal, 
potatoes and one other vegetable. 2 bread and butter, and tapioca 
pudding- or raisin pudding of either rice, bread or cracker. 

Saturday. — Baked beans, corned beef, potatoes and one other vege- 
table, 2 pickles, bread and butter, and baked bread pudding. 

Sunday. — Stewed mutton, sweet potatoes, wanned baked beans, pickles, 
bread and butter and pies, the kind varying with the season. 

Supper. 

Monday. — Tea and bread, warm corn cake and butter, hard ginger- 
bread and a relish. 3 

Tuesday. — Tea, white bread, graham bread and butter, soft ginger- 
bread and a relish in the warm season, substituted by buckwheat 
cakes in the cold season. 

Wednesday. — Tea, bread and butter, pie (the kind varying with the 
season), and ginger snaps and a relish. 

Thursday. — Tea, bread and butter, cookies and cheese. 

Friday. — Tea, bread and butter, cake (the kind varying) and a relish. 

Saturday. — Tea, bread and butter, doughnuts and cheese. 

Sunday. — Tea, bread and butter, cookies and ginger snaps and blanc- 
mange or corn starch. 

Extra. — In the winter and spring months hulled corn at supper, once 
in two weeks, on Saturdays. 

BILL OF FARE No. 2. 

Breakfast. 

Monday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 

Tuesday. — Coffee, oatmeal, cold roast beef, potatoes, and bread and 

butter. 
Wednesday. — Coffee, oatmeal, meat stew or boiled eggs, potatoes, and 

wann rye and Indian corn brown bread and butter. 
Thursday. — Coffee, oatmeal, picked codfish cooked in milk, potatoes, 

and bread and butter. 
Friday. — Coffee, oatmeal, cold corned beef or meat stew, potatoes, and 

bread and butter. 
Saturday. — Coffee, oatmeal, hash, either of meat or fish, and bread and 

butter. 
Sunday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable. 2 boiled hominy 
with molasses, and bread. 

1 Substituted by stewed oysters in winter and spring, with some kind of roasted meat 
for those who prefer it. 

2 At least three vegetables during the summer. 

3 This term, used for the want of a better, includes dried beef, berries, baked"t apples, 
apple sauce and canned fruits, all of which are supplied, and each according to the 



1907.] PUBLIC DOCUMENT — Xo. 21. 19 

Tuesday. — Vegetable soup, potatoes and one other vegetable, 1 baked 
Indian pudding 2 and bread. 

Wednesday. — Boiled codfish with drawn-butter sauce, potatoes and one 
other vegetable, 1 boiled hasty pudding with molasses, and bread. 

Thursday. — Vegetable soup, potatoes, cabbage or some other vege- 
table, 1 boiled rice with molasses,* and bread. 

Friday. — Boiled fresh fish with drawn-butter sauce, potatoes, beets or 
some other vegetable, 1 boiled hasty pudding with molasses, and bread. 

Saturday. — Hot baked beans, potatoes, baked Indian or bread pud- 
ding, pickles and bread. 

Sunday. — Cold corned beef, potatoes, pies (the kind varying with the 
season) and bread. 

Supper. 

Monday. — Tea, bread and butter, and hard gingerbread. 
Tuesday. — Tea, bread and butter, and soft gingerbread. 
Wednesday. — Tea, bread and butter, cake or ginger snaps, and some 

kind of relish. 
Thursday. — Tea, bread and butter, and cookies. 
Friday. — Tea, bread and butter, and soft gingerbread. 
Saturday. — Tea, bread and butter, cake or ginger snaps, sauce. 
Sunday. — Tea, bread and butter, and cookies. 

Extras. 

In the winter and spring months, hulled corn at supper on Saturdays. 

In August and September these tables are furnished at supper with 
either berries, tomatoes or baked apples, as many as five times a week. 

In eight halls, sauce of either fresh or dried apples is furnished four 
times a week for the rest of the year. 

Extras for the Whole Household. 

All persons have roasted turkey at dinner on Thanksgiving Day and 
on Christmas, with vegetables, celery, cranberry sauce, pudding, pie 
and cider. 

From four to five bushels of green sweet corn in the ear is consumed 
in its season, daily, with the exception of Sunday. 

Strawberries, tomatoes, cucumbers and melons are furnished in liberal 
quantities in their season. 

In the spring, cowslips and dandelions are largely used as greens, and 
horse-radish as a condiment. 

During eight months of the year, apples are distributed, daily, among 
the patients. 

Beef tea, chicken broth, mutton broth, scalded milk, arrow-root gruel, 
oatmeal gruel, milk punch, cracked wheat, oatmeal porridge, dry toast, 
milk toast, toast with dropped egg, and boiled eggs, for invalids and all 
who are not able to take the regular fare. 

1 At least three vegetables in the summer. 

2 All baked puddings for the whole household are made with milk. 

3 Maple syrup is furnished, in place of molasses, three or four times in the spring. 



20 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



ARTICLES MADE INT SEWING ROOM. 



Aprons, .... 


448 


Night gowns, .... 374 


Bandages, 


14 


Night caps, . 






25 


Bath robes, 


9 


Pillow covers, 






1,051 


Bureau covers, 


376 


Pillow ticks, . 






193 


Cape 


1 


Rugs, . 






109 


Caps, .... 


349 


Sheets, . 






908 


Chemises, 


184 


Shirts, . 






755 


Cloth bags, . 


40 


Shirt waists, . 






11 


Corset covers, 


4 


Skirts, . 






123 


Curtains, 


206 


Tablecloths, . 






147 


Curtains, lace draperies, 


10 


Towels, . 






3,164 


Drawers, 


15 


Tray cloths, . 






112 


Dresses, . 


222 


Table pads, . 






4 


Dressing sack, 


1 


Stand covers, . 






125 


Mattress ticks, 


176 


Articles repaired, 






28,449 


Milk cloths, . 


84 





UPHOLSTERY DONE IX THE YEAR. 



Hair mattresses made, new material, 
Hair mattresses made, new ticks, . 
Hair mattresses made, old material, 
Hair pillows made, new material, 
Hair pillows made, new ticks, 
Hair pillows made, old material, . 
Feather pillows made, new ticks, 



27 
84 
58 
6 
48 
22 



1907.] 



PUBLIC DOCUMENT — Xo. 21. 



21 



OFFICERS AXD EMPLOYEES. 

[Time employed, Nov. 30, 1907.] 



NAMES. 



Years. 



Months. 



Davs. 



John A. Houston, M.D., superintendent, . 
Harriet M. Wiley, M.D., assistant physician, . 
Charles H. Dean, M.D., assistant physician, 
Grace E. B. Rice, M.D., assistant physician, 
Edward W. Whitney, M.D., assistant physician, 
C. Stanley Raymond, M.D., assistant physician, 
Lewis F. Babbitt, treasurer, 
Burton G. Fiske, superintendent of nurses 
Alice E. Bedell, assistant superintendent of 

nurses, . 
Susan E. Warren, matron 
Martha G. Jones, secretary to superintendent, 
Helen M. Bailey, stenographer, 
John Mercier, farmer, 
Joseph G. Cook, farmer, . 
Lucy A. Gilbert, clothes marker, 
George N. Drury, steward, 
William J. Moore, assistant steward, 
Herbert W. Root, assistant steward, . 
Jay E. Cook, baker, .... 
Leon E. Bruce, assistant baker, . 
George W. Thorniley, florist, 
Waverly D. Packard, engineer, 
Leroy Kellogg, assistant engineer, . 
Thomas Butterworth, assistant engineer, 
William C. Day, fireman, . 
Lester King, fireman, .... 
Gottlieb Beer, fireman, 
Earl Kron, fireman, .... 
Helfrid N. Fiske, seamstress, . 
Jennie M. Hope, assistant seamstress, 
Clare Sweeney, assistant seamstress, 
Charles E. Williams, laundryman 
Margaret Sweeney, laundress, . 
Ellen Moore, laundress, 
Margaret Tobin, laundress, 
Mary Shea, laundress, 
Ada C. Fiskett, usher, 
Mabel Dean, cook, 
Harry W. Love, watchman 
Fred D. Aldrich, nurse, 
Alexander Beaton, nurse, 
George Begor, nurse, 
William Brewer, nurse, 
Scearl Brewster, nurse, 
John W. Bunnell, nurse, 



18 


2 


7 


7 


9 


29 


7 


6 


21 


4 




27 


2 


2 


11 


1 


5 


- 


16 


1 


18 


4 


1 


15 


5 


3 


20 


13 


8 


8 


14 


4 


11 


1 


5 


26 


40 


4 


- 


1 


4 


5 


39 


10 


17 


10 


2 


- 


11 


1 


3 


8 


6 


22 


8 


9 


- 


2 


5 


4 


14 


7 


11 


- 


5 


13 


3 


7 


6 


- 


- 


17 


16 


7 


29 


- 


1 


7 


- 


- 


12 




5 


8 


1 


10 


19 


- 


10 


17 


- 


10 


9 


10 


2 


29 


2 


9 


27 


1 


5 


2 


_ 


5 


9 


_ 


6 


3 


2 


1 


14 


- 


6 


7 


3 


11 


22 


9 


4 


8 


2 


4 


14 


- 


7 


2 


- 


3 


2 


- 


1 


25 


- 


1 


9 



22 



NORTHAMPTON STATE HOSPITAL. 



r Dec. 



NAMES. 



Years. 



Months. 



Hector Chagnon, nurse, . 
Fred C. Colthurst, nurse, . 
Charles O. Damren, nurse, 
William Dillon, nurse, 
L. L. Edwards, nurse, 
A. V. Elmer, nurse, . 
Thomas C. Fickett, nurse, 
Elmer C. Green, nurse, 
John E. Harkness, nurse, 
George Hood, nurse, . 
Noah Haskell, nurse, . 
Robert Jackson, nurse, 
Arthur Joslyn, nurse, 
Clayton Kellogg, nurse, 
John J. Lively, nurse, 
James Moore, nurse, . 
Frank O'Neil, nurse, . 
Charles Pease, nurse, 
Robert A. Pike, nurse, 
Fred B Potter, nurse, 
Amos Purdy, nurse, . 
Charles Rathburn, nurse, 
George Smith, nurse, 
Henry Whiting, nurse, 
Frank Wilson, nurse, 
Corinnie Blodgett, nurse, 
Hannah Bollivar, nurse, 
Marie Bollivar, nurse, 
Lillian Brown, nurse, 
Sadie Brown, nurse, . 
Daisy R. Colton, nurse, 
Louise Coulter, nurse, 
Lois Crandall, nurse, . 
Addie Daggett, nurse, 
Lulu Drew, nurse, 
Annie Edwards, nurse, 
Elizabeth Graham, nurse, 
Sophie Heizmann, nurse, 
Elida Hervieux, nurse, 
Leona Jacques, nurse, 
Elizabeth James, nurse, 
Mabel James, nurse, . 
Clara Ladue, nurse, . 
Effie Mahy, nurse, 
Josephine Mason, nurse, 
Belle McLaurin, nurse, 
Ethel Montena, nurse, 
Ida Nelson, nurse, 
Lillian Purdy, nurse, . 
Madelena Rice, nurse, 
Kate Riley, nurse, 
Alice Robinson, nurse, 
Cora Roy, nurse, 
Lulu Simmons, nurse, 
Pearl Simmons, nurse, 



1 


6 


1 


2 


3 


9 


- 


1 


- 


5 


- 


1 


- 


6 


1 


5 


1 


1 


- 


2 


- 


1 


_ 


1 


_ 


1 


1 


6 


< 





_ 


1 


3 


_ 


- 


5 


- 


1 


- 


2 


2 


5 


2 


2 


2 


2 


2 


9 


2 


10 


4 


7 


1 


4 


- 


10 


_ 


1 


- 


2 


1 


6 


3 


- 


1 


8 


2 


8 


- 


10 


1 


5 


1 


6 


2 


10 


3 


4 


- 


4 


5 


6 


- 


10 


3 




4 




2 




1 






2 


1 


1 



1907.] 



PUBLIC DOCUMENT — No. 21 



23 



NAMES. 



Years. 



Months. 



Day; 



Annie Smith, nurse, . 

Blanche Smith, nurse, 

Margaret Smith, nurse, 

Josephine Staudinger. nurse, 

Emily Stewart, nurse, 

May Stiles, nurse, 

Mary Sullivan, nurse, 

Mattie Taylor, nurse, 

Niola Watson, nurse, . 

Phoebe Wheeler, nurse, 

Annie Wilson, nurse, 

Gertrude Wilson, nurse, . 

Amy Yeo, nurse, 

Harriet Briggs, rear housework, 

Catherine Hall, center housework, 

Jennie Pedersen, housework, . 

Rhoda French, dining room, 

Lillian Ellsworth, center dining room, 

Margaret Powers, center dining room, 

Harry B. Ballard, kitchen, 

Lizzie Roy, kitchen. . 

Ellen McGrath, kitchen, . 

Julia Dumar, kitchen, 

Victoria Filipek, kitchen, . 

Agnes Gnoctic, kitchen, 

Maggie Gnoctic, kitchen, . 

Sifroi Belleville, carpenter, 

Albert DeGrandpre, carpenter, 

Walter M. Tower, carpenter, 

Albert C. Burnett, painter, 

Alfred Parenteau, painter, 

Thomas P. Clair, plumber, 

Martin Sornborger, plumber, 

Roscoe Tobin, plumber, . 

John Cahill, mechanic, 

David Mercier, coachman, 

Alex G. Wylie, gardener, . 

H. Ohrstrom, gardener, 

Walter Streeter, herdsman, 

Cornelius Barry, farmer, . 

Xavier Dion, farmer, 

Thomas Drozdial, farmer, . 

Henry F. Egleston, farmer, 

Henry Fuller, farmer, 

Frank Keyes, farmer, 

Nicholas Krajnyak, farmer, 

Philip Kron, farmer, . 

E. S. Linscott, farmer, 
Henry McCoy, farmer, 
B. McNamara, farmer, 
Fred Noyes, farmer, . 
James Ruddy, farmer, 

F. H. Sanborn, . 
Joseph Young, farmer, 
William Zaskey, farmer, . 



36 
2 

28 
1 

40 
9 
4 



30 
2 
1 
4 

14 
3 
5 

6 

1 

9 



11 

2 

10 

1 

1 
2 
2 
5 

10 
3 
3 
1 
3 
5 
2 
2 

11 
1 
6 
1 
7 
3 
3 
4 
3 
5 

10 

10 
6 
3 
7 



1 
9 

11 
5 
S 
8 
5 

5 
9 
11 
7 
5 
3 
8 
7 
■2 
1 
6 
8 
5 



1 

10 

8 

9 

26 

22 

19 



24 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



LIST OF PERSONS REGULARLY EMPLOYED 

AT THE NORTHAMPTON STATE 

HOSPITAL. 



Superintendent and physician (per year), 

Assistant physician (per year), . 

Assistant physician (per year), . 

Assistant physician (per year), . 

Assistant physician (per year) , . 

Assistant physician (per year), . 

Treasurer and clerk (per year), 

Engineer, with house rent (per year) 

Farmer, with house rent (per year) 

Farmer, with house rent (per year) 

Florist, without board (per year), 

Matron (per month), . 

Superintendent of nurses (per month) 

Assistant superintendent of nurses (per month), 

Secretary to superintendent (per month), 

Stenographer (per month), 

Seamstress (per month), . 

Assistant seamstress (per month), 

Assistant seamstress (per month), . 

Laundryman (per month), 

Laundresses (4) (per month), . 

Baker (per month), .... 

Assistant baker (per month), 

Steward, with partial board (per month), 

Assistant steward (per month), 

Assistant steward (per month), 

Nurses (men, 31) (per month), 

Nurses (women, 43) (per month), . 

Usher (per month), .... 

Housemaids (3) (per month), . 

Waitresses (3) (per month), 



§3,000 00 

1,200 00 

1,000 00 

900 00 

900 00 

700 00 

1,800 00 

1,000 00 

1,000 00 

780 00 

700 00 

40 00 

45 00 

37 00 

40 00 

30 00 

25 00 

20 00 

18 00 

50 00 

$18 00 to 22 00 

50 00 

40 CO 

60 00 

50 00 

40 00 

!5 CO to 37 00 

16 00 to 30 00 

18 00 

18 00 

?16 00 to 18 00 



1907.] 



PUBLIC DOCUMENT — Xo. 21 



25 



Cooks (2) (per month), 
Kitchen girls (5) (per month), . 
Clothes marker (per month), . 
Painter (per month), . 
Painter (per month), . 
Assistant engineers (2) (per month) 
Firemen (4) (per month),. 
Coachman (per month), 
Farm laborers (16) (per month), 
Herdsman (per month), 
Gardeners (2) (per month), 
Watchman (per month), . 
Kitchen helper (per month), 
Carpenter (per month), 
Carpenter (per day), . 
Carpenter (per day), . 
Plumber (per day), . . . 
Plumber (per year), . 
Plumber (per month), 
Mechanic (per day), . 











$22 00 










§14 00 to 18 00 










25 00 










60 00 










50 00 










#40 00 to 60 00 










30 00 to 35 00 










40 00 










$25 00 to 35 00 










35 00 










|50 00 to 55 00 










37 00 










28 00 










60 00 










2 75 










2 00 










2 25 










1,0C0 00 










40 00 










1 75 



26 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



FARM PRODUCTS. 



Apples, 425 barrels, . 

Asparagus, 25 bushels, 

Beans, Lima, improved, 90 bushels, 

Beans, shelled, 55 bushels, . 

Beans, string, 163 bushels, . 

Beef, 38,911 pounds, . 

Beet greens, 23 bushels, 

Beets, table, 311 bushels, . 

Broom corn, 1,500 pounds,. 

Broom corn seed, 1,000 pounds, 

Cabbage, 11,040 heads, 

Carrots, 406 bushels, . 

Cauliflower, 490 heads, 

Celery, 400 dozen bunches, 

Cherries, 32 quarts, 

Chicken, broilers, 570 pounds, 

Chicken, roast, 930 pounds, 

Cider, 1,139 gallons, . 

Citron, 2,000 pounds, . 

Corn, fodder, 50 tons, . 

Corn, green, 326 bushels, . 

Corn, shelled, 250 bushels, . 

Cucumbers, 105 bushels, 

Cucumbers, pickles, 5 bushels, 

Eggs, 647 dozen, 

Egg plant, U barrels, 

Ensilage, 600 tons, 

Fowl, 419 pounds, 

Hay, first growth, 373 tons, 

Hay, second growth, 81 tons, 

Ice, 600 tons, 

Lettuce, 207 bushels, . 

Lumber, 6,404 feet, . 

Melons, musk, 86 crates, 

Melons, water, 10,000 pounds, 

Milk, 233,688 quarts, . 

Onions, 301 bushels, . 

Oat and pea fodder, 20 tons, 

Parsley, 8 bushels, 

Parsnips, 250 bushels, 

Amount carried forward, 



f 1,275 


00 


106 


25 


135 


00 


68 


75 


163 


00 


2,654 02 


8 05 


155 50 


90 00 


50 00 


552 


00 


243 60 


49 00 


340 00 


4 


00 


142 50 


204 


60 


113 


90 


60 


00 


250 00 


244 


50 


200 00 


210 


00 


8 


00 


226 


45 


3 


00 


3,000 00 


62 


85 


6,714 


00 


972 


00 


1,800 00 


155 


25 


153 


69 


150 


50 


150 


00 


11,684 


40 


255 


85 


100 


00 


4 


00 


187 


50 


§32,947 


16 



1907.] 



PUBLIC DOCUMENT — No. 21. 



27 



Amount brought forward, 

Pears, 5 bushels, 
Pease, 133£ bushels, 
Peppers, 4 bushels, 
Plums, 10 baskets, 
Pork, 38,531 pounds, 
Posts, fence, 200, 
Poles, telephone, 24, 
Potatoes, 1,579 bushels, 
Pumpkins, 6,725 pounds, . 
Quince, 1 bushel, 
Raspberries, 74 quarts, 
Radishes, 142 dozen bunches, 
Rhubarb, 17,825 pounds, . 
Rye, 19,600 pounds, . 
Rye straw, 20 tons, 
Sage, 2 bushels, . 
Sorghum, 22 tons, 
Spinach, 261 bushels, . 
Squash, summer, 70£ barrels, 
Squash, winter, 104£ barrels, 
Strawberries, 1,732 quarts, 
Tomatoes, 88 bushels, 
Turnips, 435 barrels, . 
Veal, 1,075 pounds, 
Wood, 102 cords, 



Sales : — 
Calves, 17, 
Cows, 3, . 
Eggs, 32 dozen, 
Hides, 3,321 pounds, 
Pigs, 308, . 
Poultry, 1, 
Sand and stones, 
Miscellaneous, 

Total, 



Live stock belonging to the hospital 
Bulls, 3, . 
Calves, 14, 
Cows, 63,. 
Fowls, 250, 
Heifers, 20, 
Horses, 19, 
Oxen, 16, . 
Swine, 179, 

Total live stock. 



$32,947 16 




8 75 




133 50 




3 00 




3 00 




3,082 48 




50 00 




48 00 




1,263 20 




201 75 




2 00 




7 40 




56 80 




356 50 




980 00 




260 00 




2 00 




110 00 




104 40 




70 50 




156 75 




138 56 




66 00 




543 75 




118 25 




459 00 






$41,172 75 


$138 00 




45 00 




14 85 




343 86 




979 40 




1 28 




5 20 




23 50 






1,551 09 




. 


§42,723 84 


$300 00 




280 00 




5,015 00 




187 50 




720 00 




3,550 00 




•1,400 00 




1,521 50 






$12,974 00 



28 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



VALUATIOX. 



Real Estate. 
Five hundred and eleven acres of land (cultivated, 233 ; wood 

land, 93 ; pasturage, 185), 
Hospital building, 
Farmhouse, . 
Brick house, 
Six dwellings, 

Storehouse, shops and cold storage, 
Two barns, . 
Cow stable, 
Horse stable, 
Piggery, . 
Lumber shed, 
Cart shed, . 
Pump house, 
Two ice houses, . 

Total real estate, 



Personal Estate 
Inventory of stock and supplies on hand Nov. 30, 1907 
Live stock on farm, ..... 
Produce of farm on hand, .... 
Carriages and agricultural implements, . 
Machinery and mechanical fixtures, . 
Beds and bedding in inmates' department, 
Other furniture in inmates' department, . 
Personal property of State in superintendent's department 
Ready-made clothing, .... 

Dry goods, 

Provisions and groceries, .... 

Drugs and medicines, 

Fuel, 

Library 

Tobacco, ....... 

Other supplies, undistributed, . 



Total personal estate, 



§56,900 00 

600,000 00 

1,500 00 

1,700 00 

5,000 00 

30,000 00 

5,000 00 

13,000 00 

6,000 00 

3,000 00 

850 00 

400 00 

400 00 

300 00 

$724,050 00 



§12,974 00 

16,985 89 

5,965 00 

21,750 00 

16,000 00 

10,800 CO 

10,000 00 

2,218 58 

1,530 65 

11,463 74 

600 00 

4,970 64 

1,250 00 

122 50 

3,206 13 

$119,837 13 



1907.] PUBLIC DOCUMENT — No. 21. 29 



TREASURER'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I herewith submit a report of the finances of the Northampton 
State Hospital from Dec. 1, 1906, to Nov. 30, 1907. 

Receipts. 

To support of patients, viz. : — 

From soldiers' relief, $155 52 

From individuals, 30,405 88 

$30,561 40 

Reimbursements, viz. : — 
Received at institution, ..... $8,675 11 

Received by State Board of Insanity, . . . 3,184 68 

11,859 79 

Interest on bank deposit, $94 11 

Wages and freight refunded and insurance divi- 
dend, 37 56 

131 67 

Sales : — 

Food, $147 05 

Clothing, 219 48 

Furnishings, ....... 4 38 

Repairs and improvements, .... 269 40 

Farm, stable and grounds, 1,551 09 

Miscellaneous, 731 83 

2,923 23 

$45,476 09 
Received from State Treasurer, viz. : — 

For current expenses, $151,815 65 

For advance, 1,000 00 

For special appropriations, .... 11,775 65 

164,591 30 

Total receipts, $210,067 39 



30 



NORTHAMPTON STATE HOSPITAL. [Dec. 



Payments. 

Maintenance. 
Salaries, wages and labor : — 

Medical service, 

Ward service (male, §10,223.04 ; female, $9,882), 

General administration, 

Repairs and improvements, . 

Farm, stable and grounds, 



Food : — 
Butter, .... 
Beans, .... 
Bread and crackers, 
Cereals, rice, meal, etc., 
Cheese, 

Eggs, .... 
Flour, .... 
Fish, .... 
Fruit (dried and fresh), 
Meats, .... 
Milk, .... 
Molasses and syrup, . 
Sugar, .... 
Tea, coffee, broma and cocoa, 
Vegetables, . 
Lard, . . . . 
Yeast, .... 
Salt, .... 
Sundries, 



Clothing and clothing material 
Boots, shoes and rubbers, 
Clothing, 

Dry goods for clothing, and small wares, 
Furnishing goods, 
Hats and caps, . 
Sundries, 



Furnishings : — 
Beds, bedding, table linen, etc., . 
Brushes, brooms, etc.,. 
Carpets, rugs, etc., 
Crockery, glassware, cutlery, etc. 
Furniture and upholstery, . 
Kitchen furnishings, . 

Amounts carried forward, . 



$7,241 


55 


20,105 


04 


16,269 


94 


6,099 


14 


9,720 42 




ffi^Q 43fi OQ 






§9,402 


93 


380 


18 


545 


82 


1,289 81 


314 


15 


5,775 


00 


4,405 


13 


2,379 


70 


2,097 


76 


5,748 


82 


1,922 


20 


532 


04 


3,104 32 


1,458 


68 


1,242 


10 


391 


38 


243 


00 


96 85 


432 


15 




41 769 09 






$1,220 


44 


1,510 


23 


1,257 


74 


285 


47 


155 


98 


51 


49 




4 481 S5 






$2,395 


70 


364 


62 


774 52 


427 


42 


119 


37 


34 


48 



$4,116 11 $105,679 46 



1907.] 



PUBLIC DOCUMENT — Xo. 21. 



31 



Amounts brought forward, . 

Wooden ware, buckets, pails, etc., 
Sundries, 



Heat, light and power : — 
Coal, . 
Wood, . 
Electricity, . 
Gas, . 
Oil, . 
Sundries, 



Repairs and improvements : — 
Cement, lime and plaster, . 
Doors, sashes, etc., 
Electrical work and supplies, 
Hardware, ..... 

Lumber, 

Paints, oil, glass, etc., . 

Plumbing, steam fitting and supplies 

Rooting and materials, 

Mechanics and laborers (not on pay roll) 

Supplies for cold storage, . 

Sundries, 

Farm, stable and grounds : — 
Blacksmith and supplies, . 
Carriages, wagons, etc., and repairs, 
Fertilizers, vines, seeds, etc., 
Hay, grain, etc., . 
Harnesses and repairs, 
Horses, 

Cows, .... 
Other live stock, . 
Labor (not on pay roll), 
Rent, .... 
Tools, farm machines, etc 
Sundries, 

Miscellaneous : — 
Books, periodicals, etc , 
Chapel services and entertainments, . 
Freight, expressage and transportation, 
Funeral expenses, .... 

Gratuities, 

Labor (not on pay roll), 
Medicines and hospital supplies, 



$4,116 11 §105,679 46 



Amounts carried forward, 



40 74 




129 85 






4,286 70 




$9,560 06 




67 44 




1 84 




147 94 




125 48 




122 bb 






10,025 31 




$184 81 




33 91 




887 35 




731 45 




537 92 




1,615 46 




856 21 




25 09 




402 41 




47 56 




154 49 






5,476 66 


$445 31 


525 28 




1,726 16 




8,316 76 




292 73 




1,049 00 




27 00 




872 00 




225 46 




52 80 




1,256 66 




281 70 






In 070 86 


$223 27 


I U^v i \J OU 


871 04 




1,092 73 




83 00 




10 00 




176 00 




1,313 33 




$3,769 37 


$140 r 538 99 



32 NORTHAMPTON STATE 


HOSPITAL. 


[Dec. 


Amounts brought forward, . 


«3,769 37 


$140,538 99 


Medical attendance, nurses, etc., extra, 


770 82 




Postage 


223 


40 




Printing and printing supplies, . 


149 


60 




Printing annual report, .... 


159 


62 




Return of runaways, 


58 77 




Soap and laundry supplies, 


1,345 


64 




Stationery and office supplies, . 


185 


73 




Travel and expenses (officials), 


534 


91 




Telephone and telegraph, .... 


130 


56 




Tobacco, 


619 


15 




Water, 


2,921 


05 




Sundries, 


408 


04 


11,276 66 








Total expenses for maintenance, 


$151,815 65 


Paid out of special appropriations, 






11,775 65 


Cash advance paid to State Treasurer, 






1,000 00 


Receipts paid to State Treasurer, 






45,476 09 


Total payments, ..... 


$210,067 39 



Resources and Liabilities. 
Resources. 
Balance of maintenance appropriation with 

State Treasurer, 113,573 24 

Unexpended special appropriations, . . . 20,788 58 



Total resources, . 


Liabilities. 


• 


• 


$34,361 


82 


On account of maintenance : — 












Salaries and wages, 


. £5,289 55 










Food 


. 1,976 55 










Clothing 


. 856 69 










Furnishings, 


. 746 69 










Heat, light and power, 


. 2,642 39 










Repairs and improvements, 


. 630 91 










Farm, stable and grounds, . 


. 893 38 










Miscellaneous, . 


535 50 


$13,571 


66 












On account of special appropi 


iations : — 










Bills due on account of special a 


ppropriation, . 


1,938 


93 


$15,510 




Total liabilities, . 






59 


Balance for the institution : — 












On account of maintenance app 


ropriation, 


$1 


58 






On account of special appropria 


tion, . 


18,849 


65 







$18,851 23 $18,851 23 



1907.] PUBLIC DOCUMENT — Xo. 21. 33 

During the year the average number of patients has been, . 772.92 
Dividing the total expenditure for maintenance ($151,815.65) 

by the average number gives an average annual cost of . $196 41 

Equivalent to an average weekly cost of 3 76 

Statement of Funds. 
Fred B. Kelly Fund. 

On hand Dec. I, 1906, $660 10 

Income, 24 97 

$685 07 



Expended, . . . 78 89 



Balance in Northampton Institution for Savings, Dec. 1, 1907, $606 18 

Respectfully submitted, 

LEWIS F. BABBITT, 

Treasurer. 
Examined and approved, 

FREDERIC A. PELTON, 

Auditor. 
Dec 7, 1907. 



34 NORTHAMPTON STATE HOSPITAL. [Dec. 1907. 






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38 



NORTHAMPTON STATE HOSPITAL, 



[Dec. 



Insane received on First and Subsequent Commitments. 



NUMBER OF COMMITMENT; 



Cases committed. 



Males. Females. Totals. 



First to this hospital, 


136 


123 


259 


Second to this hospital, 


15 


11 


26 


Third to this hospital, 


5 


3 


8 


Fourth to this hospital, ..... 


1 


6 


7 


Total cases, ...... 


157 


143 


300 


Total persons, ...... 


157 


143 


300 


Never before in any hospital for insane, . 


125 


117 


242 



3. — Nativity and Parentage of Insane Persons first admitted to Any 

Hospital. 





Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


1 I 


X 

- 

C 

s 


■ 
a 

OS 


si 

- 




3" 

1 


■ 

B 

a 

— 


■ 

s 

1 1 


Massachusetts, 


46 IS 22 


50 


21 


20 


96 


39 


42 


Other New England States, . 


12 


10 11 


11 


11 


11 


23 


21 


22 


Other States, . 


10 
68 


9 9 


7 


4 


4 


17 

136 


13 
73 


13 


Total native, . 


37 


42 


68 


36 


35 


77 


Other countries : — 




















Austria 


6 


6 6 


1 


1 


1 


7 


7 


: 


Bohemia, . 


_ 


2 


2 


2 


2 


2 


2 


Canada, . 


15 19 16 


7 


10 


10 


22 


29 


26 


England, . . . . 


4 3'3 


5 


8 


11 


9 


11 


14 


Finland, 


2 


2 2 


1 


1 


1 


3 


3 


3 


Germany, . . . . 


4 5 5 


1 


2 


2 


5 


7 


7 


Ireland, . . . . . 


13 ! 37 36 


29 


48 


47 


42 


85 


83 


Italy 


5 5 5 


- 


- 


- 


5 


5 


5 


Poland, 


_ 


1 


1 


1 


1 


1 


1 


Russia, 


2 


2 2 


1 


1 


1 


3 


3 


3 


Scotland, . 


4 


7 6 


1 


4 


3 


5 


11 


9 


Sweden, ..... 


2 


2 


2 


- 


- 


- 


2 


2 


2 


Total foreign, . 


57 


88 


83 


49 


78 


79 


106 


166 162 


Unknown, . 


- 


- 


- 


- 


3 


3 


- 


3 


3 


Totals, . 


125 


125 125 


117 


117 


117 


242 


242 


242 



1907.] 



PUBLIC DOCUMENT — No. 21. 



39 



4. — Residence of Insane Persons admitted by Commitment. 











First admitted 
to Any Hospital. 


All Oth kr 

Admissions. 


Totals. 


PLACES. 


'3 

a 


OS 

a 

fa 


00 

0* 

n 

Eh 


gg 

a 


a 

fa 


o5 

"3 
o 

EH 




go 

93 

a 


5 

o 


Hampshire County 








16 


25 


41 


7 


6 


13 


23 


31 


54 


Hampden County, 








62 


64 


126 


14 


10 


24 


76 


74 


150 


Berkshire County, 








33 


24 


57 


7 


3 


10 


40 


27 


67 


Franklin County, 








14 


3 


17 


1 


3 


4 


15 


6 


21 


Worcester County, 








- 


1 


1 


- 


- 


- 


- 


1 


1 


Totals, . 








125 


117 


242 


29 


22 


51 


154 


139 


293 


Unknown, 








125 






29 


22 


51 


154 


139 




Totals, . 


117 


242 


293 


Cities and towns, 








78 


88 


166 


23 


14 


37 


101 


102 


203 


Country districts, 








47 


29 


76 


6 


8 


14 


53 


37 


90 


Totals, 








125 


117 


242 


29 


22 


51 


154 


139 


293 



5. — Civil Condition oj Insane Persons first admitted to Any 

Hospital. 





Males. 


Females. 


Totals. 


Unmarried, 


52 


46 


98 


Married 


52 


46 


98 


Widowed, 


20 


25 


45 


Divorced, 


1 


- 


1 


Unknown, 


- 


- 


- 


Totals, 


125 


117 


242 



40 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



6. — Occupation of Insane Persons first admitted to Any Hospital. 



Bartenders, . 






2 


Hostler, 




1 


Blacksmiths, 






2 


Iron workers, 




3 


Brass moulders, 






2 


Newspaper reporter, 




1 


Cabinet maker, 






1 


Operatives, . 




15 


Carpenters, . 






3 


Painters, 




3 


Cigar makers, 






2 


Physician, . 


• . 


1 


Clerk, . 






1 


Policemen, . 




2 


Cooks, . 






2 


Porter, 




1 


Electrician, . 






1 


Printer, 




1 


Elevator boy, 






1 


Railroad employees, 




3 


Farmers, 






11 


Salesmen, . 




3 


Farm laborers, 






6 


Shoemaker, 




1 


Glass blower, 






1 


Stationary fireman, 




1 


Laborers, . 






33 


Student, 




1 


Machinists, . 






2 


Undertakers, 




2 


Mechanics, . 






4 


Watchman, . 




1 


Merchant, . 






1 


Wood worker, 




1 


Miner, . 






1 
1 


No occupation, . 
Total, . 




7 


Moulder, 


125 



FEMALES. 



Domestics, .... 


25 


Operatives, A 


14 


Dressmaker, 


1 


Teacher, .... 


1 


Housekeepers, . 


8 


Tobacco stripper, 


1 


Laundress, .... 


1 


Waitress, .... 


1 


Milliner, .... 


1 
1 


No occupation, . 

Total 


27 


Nurse, 


81 



1907.] 



PUBLIC DOCUMENT — Xo. 21. 



41 



6. — Occupation of Insane Persons first admitted to Any Hospital 

— Concluded. 









WIFE OF — 






Bookkeeper, 






2 


Laborer, 




10 


Cigar maker, 








1 Merchant, . 




1 


Clerk, . 






1 


Miner, . 




1 


Coachman, . 








Newspaper reporter, 




1 


Coal dealer, 








Operative, . 




4 


Dentist, 








Physician, . 




1 


Dry goods buyer 








Railroad engineer, 




1 


Farmer, 






5 

1 


Saloon keeper, . 
Total, . 




3 


Junk dealer, 


36 



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NuirniAMPTOX STATE HOSPITAL. 



[Dec. 



9. — Probabh m of Mental Disease before Admission. 









EMITTED TO AST HOSPITAL. 


PREVIOU8 Dl'RVTIOJT. 










Males. 


Females. 


Totals. 


Congenital, 




12 


11 


23 


Under 1 month, 




36 


19 


55 


From 1 to 3 months, .... 




21 


16 


37 


3 to 6 months. 




7 


7 


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6 to 12 months, 




7 


12 


19 


1 to 2 years, .... 




13 


14 


27 


2 to 5 years, .... 




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18 


32 


5 to 10 years, .... 




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9 


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10 to 20 years, .... 






4 


7 


11 


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1 


3 


4 


Total 




124 


116 


240 


Unknown, 






1 


1 


2 


Totals, 


125 


117 


242 


Average known duration (in years), 




1.5 


2.9 


2.2 



1907.] 



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47 







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NORTHAMPTON STATE HOSPITAL. TDec. 



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PUBLIC DOCUMENT — Xo. 21 



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NORTHAMPTON STATE HOSPITAL. [Dec. 



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Public Document 



No. 21 



FIFTY-THIRD ANNUAL REPORT 



THE TRUSTEES 



NORTHAMPTON STATE HOSPITAL, 



Year ending November 30, 1908. 




BOSTON: 

WEIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1909. 



Public Document No. 21 



FIFTY-THIRD ANNUAL REPORT 



THE TRUSTEES 



UsKty 



NORTHAMPTON STATE HOSPITAL, 



Year ending November 30, 1908. 




/#W BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1909. 



NOV 









AlTROVED BY 

The State Board of Publication. 



3 



CONTEXTS 



List of Officers, ......... 5 

Report of Trustees, ........ 7 

Report of Superintendent, ....... 10 

Report of Treasurer, ........ 30 

Statistics, .......... 37 



OFFICERS 



NORTHAMPTON STATE HOSPITAL 



TRUSTEES 
CHARLES S. SHATTUCK, . 
ALVAN BARRUS, Chairman, 
SARAH A. WOODWORTH. 
CAROLINE A. YALE, 
F. W. CHAPIN, BCD., 
WILLIAM D. MacINNE<. 
HENRY L. WILLIAMS, Secretary 



Hatfield. 

Goshen. 

Chicopee. 

Northampton. 

Sprixgfield. 

PlTTSFIELD. 

Northampton'. 



RESIDENT OFFICERS 
JOHN A. HOUSTON, M.D,. 
CHARLES H. DEAN, M.D., 
HARRIET M. WILEY, M.D., 
GRACE E. B. RICE, M.D., 
EDWARD W. WHITNEY, M.D.. 
C. STANLEY RAYMOND, M.D.. 

LEWIS F. BABBITT, . 
SUSAN E. WARREN. 
JOSEPH G. COOK, 
WAVERLEY D. PACKARD, 



Superintendent . 
Assistant Physician. 
Assistant Physician.. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 

Clerk. 
Matron. 
Fanner. 
Engineer. 



LEWIS F. BABBITT. 



TREASURER. 
Office at the Hospital. 



Northampton. 



£he tfommontoealtl) of itlassactyusette. 



TRUSTEES' REPORT. 



To His Excellency the Governor of the Commonwealth and the Hon- 
orable Council. 

The trustees of the Northampton State Hospital respectfully 
submit their fifty-third annual report. 

An appropriation of $159,000 was made by the Legislature of 
1908 for maintenance for the year ending Nov. 30, 1908. This 
appropriation was based on the expectation that we should have 
a daily average number of 750 patients to care for, according to 
the estimate of the State Board of Insanity, who hoped to keep 
our numbers to that limit by transfers of patients to other hos- 
pitals, if necessary ; but because of the rapid accumulation of 
patients in these other institutions, such transfers could not be 
made. As a consequence, we have had to care for a daily average 
number of 802 patients. This we were able to do by the exercise 
of rigid economy. The weekly per capita expenditure for 
maintenance was $3.79. 

There was received for board of patients from relatives and 
friends $44,848.24, and from sales and interest on bank deposits 
$1,637.62, — a total of receipts of $46,485.86, equivalent to a 
reduction of $1.10 in the weekly per capita cost to the Common- 
wealth. 

A considerable proportion, amounting to about $750, of the 
money received for sales was for what had been paid for out of 
our maintenance appropriation; for instance, for books and 
materials for uniforms for nurses, packing cases, egg cases, bar- 
rels, hides and money refunded for freight. It seems just to us 
that such receipts should go back into our maintenance fund 
instead of into the State treasury. In the matter of hides, for 



8 NORTHAMPTON STATE HOSPITAL. [Dec. 

instance; we buy most of our beef on the hoof, slaughtering as 
needed and selling the hides. The past year the sum received 
from that source was nearly $400, which should be applied to 
reducing the cost of our beef. Similarly with flour ; the barrels 
paid for out of our maintenance fund were sold this year for 
nearly $100, which would buy quite a number of barrels of flour 
could we have the use of it, as we think proper. 

The matters for which special appropriations have been made 
have been attended to. The most important of these has been 
the laying of the water main of 12-inch pipe a distance of 3,700 
feet, to connect with a 16-inch pipe from Northampton's system. 
This 12-inch pipe is connected to a line of 10-inch pipe near the 
hospital, which makes a circuit of the hospital buildings, a dis- 
tance of 2,000 feet, thus affording a flow of water each way. 
From this latter line of pipe 6-inch branches extend to nineteen 
hydrants. The water pressure by this new line is increased by 
about 30 pounds over the pressure on the old 6-inch line, thus 
making a much more efficient pressure for fire protection. 

Basing our estimate of the number of patients to be cared for 
the coming year upon the number cared for the past few months, 
it seems likely that we shall have a daily average number of 840 
patients to support. To care for this number we shall require a 
maintenance appropriation of $173,000. 

We shall ask for several small appropriations for special pur- 
poses. A new freight elevator is needed in the storehouse to 
replace the old one, which has been broken and in disuse for some 
time and which is beyond repair. Bids for a new one have been 
made for about $750. We also need in the barn a bone cutter, 
a cider press, and a small motor to operate them, which will also 
be used for other purposes, — as in turning a grindstone, for 
instance; these will cost approximately $250. For the above 
purposes we ask for $1,000. 

Our sidewalks are in many places in need of renewal and 
new ones are needed in places where none have been. We ask for 
$1,000 for this purpose. This amount will not be sufficient to 
complete the work, but as this work will be done by our own 
employees, with the help of patients, instead of by contractors, 
it is believed that the amount asked for will be all we shall use 
this coming year. 



1908.] PUBLIC DOCUMENT— No. 21. 9 

At the time of writing this report we are apprised of the fact 
that the bakery oven, which has been in use about fifteen years, 
shows serious indications of giving out, and we may need to 
ask for an appropriation to cover the expenses of a new one, but 
this cannot now be determined. It is hoped, however, that this 
matter may wait till next year. 

There has been nothing unusual to record in the affairs of the 
hospital the past year. At our monthly meetings, and at fre- 
quent visitations of trustees between the stated meetings, the 
work of the hospital appeared to be going on harmoniously. 

We have to record the death of Mr. John Mercier on June 25, 
1908, who had been in our service on the farm for forty-one 
years, most of the time as head farmer. He was a faithful and 
loyal officer, always making the interests of the hospital his own. 
Under his management our farm became a most profitable and 
useful part of the hospital. 

We refer to the reports of the superintendent and treasurer 
for fuller details of the affairs of the hospital. 

CHAELES S. SHATTUCK 
ALVAN BAKKUS. 
SAEAH A. WOODWOETH. 
CAEOLINE A. YALE. 
F. W. CHAPIN, M.D. 
WILLIAM D. MacINNES. 
HENEY L. WILLIAMS. 



10 NORTHAMPTON STATE HOSPITAL. [Dec. 



SUPERINTENDENTS REPORT. 



To the Trustees of the Northampton State Hospital. 

The superintendent's report of the affairs of the hospital for 
the fiscal year ending Xov. 30. 1908, is respectfully submitted. 

The tables of statistics concerning patients, which are ap- 
pended to this report, are for the year ending Sept. 30, 19 & 

On Oct. 1, 1907, there were 726 patients in our care. During 
the succeeding twelve months 321 cases were committed to the 
hospital, 6 voluntary cases were admitted, 4 cases were trans- 
ferred by the State Board of Insanity from boarding out aud 
from other institutions, 5 were admitted from trial visit and 5 
from elopement, making a total of 311 cases admitted and of 
1,067 under care aud treatment during the year. Of thes 
were dismissed, leaving 829 patients in our care on Sept. 30. 
1908. The daily average number cared for was 759. of whom a 
daily average of 116 were private patients. 

Of the 322 patients who were committed as insane, 265 were 
first commitments to this hospital and 57 had been here before; 
197 were born in this country ; 125, or 39 per cent., were foreign 
born ; 64 per cent, were of foreign parentage. 

Intemperance was the chief exciting cause of insanity in 66 of 
the cases admitted, a larger number than from any other cause, 
and this was also a contributory cause in at least 17 other cases : 
hereditary predisposition seemed to be the principal cause in 49 
cases and a factor in 20 other cases ; senility was the chief cause 
in 45 cases and a contributory cause in 20 other cases : degenera- 
tive changes and organic brain disease were the principal causes 
in 21 cases. 

Seven patients under voluntary commitment were in our care 
during the year, 1 having been here six years and now gradually 
improving. Three of these were discharged, 2 being committed 



190S.] PUBLIC DOCUMENT— No. 21. 11 

later as insane; the others remain in the hospital, all of whom 
are improving, 2 seeming to be in nearly a normal mental con- 
dition. Our experience shows the privilege of voluntary com- 
mitment to be of great value to those who make use of it, but one 
not taken advantage of by many because of the fear of the oppro- 
brium of being treated in a hospital with the insane. 

Of those who were dismissed, 32 were discharged as recovered, 
21 as capable of self-support, 32 as improved. 19 as not improved 
and 1 as not insane, 91 died, 32 were transferred by the State 
Board of Insanity to other hospitals, or to be boarded out, 8 
eloped, and 27 were out on visit at the end of the year. 

The ratio of recoveries to the admissions, or to the number of 
patients under treatment, cannot be even approximately constant 
year after year, since it depends upon certain factors which vary 
within wide limits, — the age of the patient, the duration of the 
insanity before the patient's admission to the hospital, the form 
of insanity, also the physical condition of the patient on admis- 
sion. This year 78 of those admitted were senile cases. 42 
beins; over seventv vears of age. Two-thirds of the admitted 
cases had been insane more than six months at the time of admis- 
sion, but our records show that only a small percentage of our 
cases recover who have been insane that length of time. The 
average duration of insanity before admission to this hospital of 
patients who recovered this year was two months. Less than 25 
per cent, of the patients admitted were suffering from forms of 
insanity from which recovery may be expected. Thirty-seven of 
the patients admitted were so-called congenital cases. 

The proportion of recoveries relative to discharges is naturally 
diminished by the number who are allowed to go home on trial 
visit, some of whom are nearly well at the time of leaving the 
hospital. Inasmuch as our records show only the condition of 
patients at the time of leaving the hospital, the hospital thereby 
loses the credit of the recovery of snch patients as complete their 
recovery at home. During the past year 84 cases were dismissed 
on trial visit. At least 8 of these have apparently recovered since 
they left the hospital, and undoubtedly more than this number 
are considered by relatives and neighbors to have recovered. 

Of the deaths, 27 were from old age. The average age of all 
who died was sixty-two years. Firty-nine of the patients who 



12 NORTHAMPTON STATE HOSPITAL. [Dec. 

died were over sixty years old; 26 of these were between seventy 
and eighty years old and 15 were over eighty years old. Other 
principal causes of death were cerebral hemorrhage in 12 cases, 
paresis in 9, pulmonary and general tuberculosis in 6 and septi- 
caemia in 4. 

At the beginning of the year we had under our supervision 7 
patients boarded out in private families, and during the year 4 
more were placed out, in addition to 6 patients transferred by the 
State Board of Insanity to be boarded out under its care. Five 
of the patients under our care had to be returned to the hospital, 
2 because they did not prove to be suitable cases, the others be- 
cause the families did not care to keep them longer. These 5 
averaged a residence away from the hospital of twenty-three 
months. Six patients were boarded out under our care at the 
end of the year. 

There has been but little sickness among the patients but many 
cases have been cared for in bed, which is due in great measure 
to the large number of patients who are advanced in years, and 
who, because of the infirmities of age, require as much care as 
children. 

Interest in the training school for nurses has been maintained. 
A class of 8 nurses was graduated in October : Misses Niola M. 
Watson, Phoebe M. Wheeler, Mabel E. James, Pearl Simmons, 
Mary Elizabeth James, Amy Yeo, Louise Coulter and Sarah F. 
Brown. Thirteen of our graduates are at present in our service. 
It would be desirable to retain a larger number than this, but 
many of the graduates are anxious to enter upon the private prac- 
tice of nursing. For several years it has been difficult to secure 
as many nurses of proper qualifications as are needed for the 
work, due partly to the rapid multiplication of training schools 
for nurses and partly to the general prosperity of the country, 
which enables young women easily to secure desirable places at 
good wages, and it seems probable that it will be increasingly 
difficult to maintain the number we require. The work is far 
from attractive, aside from the training school, and we shall have 
to offset this by shorter hours on duty and larger wages. 

Instruction in special cooking for invalids has been continued, 
the course this year being in charge of Miss Hedges. 

The gymnastic work has been conducted by Miss Woster, who 



1908.] PUBLIC DOCUMENT— Xo. 21. 13 

has had classes of nurses and of patients. In addition, she has 
also had an afternoon each week devoted to the amusement of 
patients on the wards. 

Many patients of both sexes have been engaged in some form 
of employment in the routine work of the different departments 
of the hospital, — in the shops, on the farm and in the gardens, 
— as noted frequently in former reports. Many men have 
helped in the extra work which has been done this year. In the 
spring, before frost had left the ground, they began to trench 
for the large water main, for which an appropriation was made 
in 1906. Approximately one and a third miles were laid of 
8-inch, 10-inch and 12-inch pipe. Patients did all the trenching 
and filling for this, and helped much in the placing of the pipe 
in position. In one part of its course it was necessary to lay the 
12-inch pipe in the bed of Mill River. Patients did all the ex- 
cavating for the cellar of the new paint shop, which was built 
within the year, helping also in the building of the basement 
walls. Additions were built to two of the houses occupied by 
employees, — to one a bath and toilet room, to the other a kitchen 
and dining room; and an addition was built to the new green- 
house, for a work room. In all this work, patients assisted in 
laying the foundations, also in the carpenter work and painting. 
By the employment of patients in such undertakings the work 
can be done with much smaller appropriations of money by the 
Legislature, thus conducing to greater economy for the Common- 
wealth, besides adding to the health and comfort of the patients, 
and not infrequently hastening the recovery of convalescent 
patients. 

Although the prolonged drought of the summer affected some 
of the crops adversely, notably the yield of potatoes, which was 
the smallest in many years, yet our farm made an excellent show- 
ing, which compares favorably with other years, as will appear 
by reference to the list of farm products appended to this report. 
About 150 apple trees were planted in the new orchard at Sun- 
set hill. Several acres on the western boundary of the farm 
have been cleared of stones and several deep swamp holes which 
extended over an area of about five acres have been filled with 
stones and covered with earth to a depth of several feet, thus 
brinonn^ nine or ten acres into tillable condition. 



14 NORTHAMPTON STATE HOSPITAL. [Dec. 

Frequent assemblies of patients have been held during the 
year. On every Lord's Day divine worship has been conducted 
by one of the clergymen of this vicinity. Evening entertain- 
ments have been held as follows: December 25, Christmas tree; 
December 28, readings, Mrs. Pooler; January 4, readings and 
banjo recital, Messrs. Newmarker and McGee; January 6, mu- 
sical, " Zambra Mandolin Trio; " January 13, minstrels, Father 
Mathew Temperance Society of Florence; January 27, readings 
and songs, Mr. Payne, Dr. and Mrs. Treichler; February 10, 
musical. Mr. and Mrs. Wheeler; February 25, piano recital, Miss 
Story; March 7, chalk talk, Mr. Spedon ; March 16, whist party ; 
March 31, ventriloquism, Mr. Bryant ; April 14, musical, Mr. 
Lorraine; April 19, readings and songs, Miss Richings ; May 5. 
readings and songs, Mr. Taggart; May 26, musical, Mr. Bradley 
and Mr. Bill; October 12, readings and songs, Mr. Taggart; 
October 16, training school graduation; October 31, Hallowe'en 
party; Xovember 2, musical, " The Marshalls; " Xoveinber 16, 
ventriloquism and songs, Mr. Prescott ; Xovember 23, song re- 
cital, Mr. Brigham. Besides the above there have been dancing 
on twenty-three evenings, readings, with singing and instru- 
mental music as a part of the exercises, on forty-four evenings, 
stereopticon lectures on six evenings, use of the reflectoscope on 
two evening-, simplex piano player on three evening? and 
graphophone on one evening. On July 4 a band concert was 
given in the evening by the Northampton band of twenty-five 
pieces. Throughout the summer baseball games have been 
played every week on the lawn in front of the hospital, and 
several picnics have been held on Sunset hill. 

It is a pleasure to acknowledge the following gifts to the hos- 
pital for the benefit of our patients, and on their behalf I thank 
the givers ; presents for the Christmas tree from Miss Margaret 
G. Beardsworth of Portland, Me., and from Mrs. William T. 
Parker. Mrs. J. L. Egbert, Miss Jennie Allard and Mrs. Daniel 
J. Harrington of Springfield ; magazines and papers from Miss 
Pomeroy, Miss Gorham, Mrs. W. F. Ganong, Mrs. M. G. Graves, 
Messrs. Bridgman and Lyman. " Dewey House " and " Home 
Culture Clubs " of Northampton, Mr. R. W. Hunter of Green- 
field, Mr. G. F. Ryder of Springfield ; " Christian Register " and 
" Dumb Animals " have been regularly received. 



1908.] PUBLIC DOCUMENT— No. 21. 15 

The club house, which was given us last year by Mrs. L. D. 
James, deserves another word of appreciation. It has proven 
very popular with the patients and attendants, especially during 
the winter months. Groups of patients go there every day, and 
afternoons and evenings it is in constant use. It adds greatly to 
the comfort and happiness of the inmates. 

The personnel of the medical staff and of the officers of the 
hospital has not been changed. It is an agreeable duty to record 
my appreciation of their faithfulness to their respective duties. 

JOHN A. HOUSTON, 

Superintendent. 



16 NORTHAMPTON STATE HOSPITAL. [Dec. 



DIETARY OF THE NORTHAMPTON STATE 
HOSPITAL. 



[There are two bills of fare, the first of which is supplied to the tables of about 
three hundred persons, and the second to those of somewhat over three hundred. 
In addition to these, about 190 quarts of egg and milk are taken through the wards 
between meals and at bed time, and distributed to the old, the feeble and the con- 
valescent classes.] 



BILL OF FARE No. 1. 

Breakfast. 

Monday. — Tea, oatmeal, coffee, broiled beefsteak or eggs, potatoes, 

warm rolls ("biscuit"), bread and butter. 
Tuesday. — Tea, coffee, oatmeal, fried tripe, 1 potatoes, warm rolls, 

bread and butter. 
Wednesday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes 

and warm brown (rye and Indian) bread. 
Thursday. — Tea, coffee, oatmeal, broiled beefsteak, potatoes, warm 

rolls, bread and butter. 
Friday. — Tea, coffee, oatmeal, fried tripe, 1 potatoes, warm rolls, bread 

and butter. 
Saturday. — Tea, coffee, oatmeal, either fried fish-balls or liver, meat 

hash, hot corn cake, bread and butter. 
Sunday. — Tea, coffee, oatmeal, eggs, potatoes, warm rolls, bread and 

butter and fried Indian corn pudding. 

Dinner. 
Monday. — Roast beef, potatoes and one other vegetable, 2 bread and 

butter, boiled rice with syrup or sugar. 
Tuesday. — Vegetable soup, roast or stewed veal, 3 potatoes and one 

other vegetable, 2 bread and butter, and baked Indian pudding. 
Wednesday. — Either roasted or boiled mutton, potatoes and one other 

vegetable, 2 bread and butter, and berry or apple pudding, with 

sauce. 4 

1 Tripe is replaced in winter by sausasres, and in spring by fried ham and eggs, except in 
the season of shad, when that fish is given once each week instead of ham and eggs, and 
once instead of beefsteak. 

2 At least three vegetables during the summer. 

3 Substituted in winter by fresh pork ribs, roasted. 

4 In spring, maple syrup is used as sauce for puddings. 



1908.] PUBLIC DOCUMENT— No. 21. 17 

Thursday. — Vegetable soup, corned beef, potatoes and one other 
vegetable, 1 bread and butter, and boiled suet pudding, with syrup. 

Friday. — Either fried or baked fresh fish, 2 or stewed or roasted veal, 
potatoes and one other vegetable, 1 bread and butter, and tapioca 
pudding or raisin pudding of either rice, bread or cracker. 

Saturday. — Baked beans, corned beef, potatoes and one other vege- 
table, 1 pickles, bread and butter, and baked bread pudding. 

Sunday. — Stewed mutton, sweet potatoes, warmed baked beans, pickles, 
bread and butter and pies, the kind varying with the season. 



Supper. 

Monday. — Tea and bread, warm corn cake and butter, hard ginger- 
bread and a relish. 3 

Tuesday. — Tea, white bread, graham bread and butter, soft ginger- 
bread and a relish in the warm season, substituted by buckwheat 
cakes in the cold season. 

Wednesday. — Tea, bread and butter, pie (the kind varying with the 
season), and ginger snaps and a relish. 

Thursday. — Tea, bread and butter, cookies and cheese. 

Friday. — Tea, bread and butter, cake (the kind varying) and a relish. 

Saturday. — Tea, bread and butter, doughnuts and cheese. 

Sunday. — Tea, bread and butter, cookies and ginger snaps and blanc- 
mange or corn starch. 

Extra. — In the winter and spring months hulled corn at supper, once 
in two weeks, on Saturdays. 



BILL OF FARE No. 2. 

Breakfast. 
Monday. — Coffee, oatmea 1 , boiled eggs, potatoes, and bread and butter. 
Tuesday. — Coffee, oatmeal, cold roast beef, potatoes, and bread and 

butter. 
Wednesday. — Coffee, oatmeal, meat stew or boiled eggs, potatoes, and 

warm rye and Indian corn brown bread and butter. 
Thursday. — Coffee, oatmeal, picked codfish cooked in milk, potatoes, 

and bread and butter. 
Friday. — Coffee, oatmeal, cold corned beef or meat stew, potatoes, and 

bread and butter. 
Saturday. — Coffee, oatmeal, hash, either of meat or fish, and bread and 

butter. 
Sunday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 

1 At least three vegetables during the summer. 

2 Substituted by stewed oysters in winter and spring, with some kind of roasted meat 
for those who prefer it. 

3 This term, used for the want of a better, includes dried beef, berries, baked apples, 
apple sauce and canned fruits, all of which are supplied, and each according to the season. 



18 NORTHAMPTON STATE HOSPITAL. [Dec. 



Dinner. 

lay. — Roast beef, potatoes and one other vegetable, 1 boiled hominy 
with molasses, and bread. 

-day. — Vegetable soup, potatoes and one other vegetable, 1 baked 
Indian pudding 2 and bread. 

'nesday. — Boiled codfish with drawn-butter sauce, potatoes and one 
other vegetable, 1 boiled hasty pudding with molasses, and bread. 

Thursday. — Vegetable soup, potatoes, cabbage or some other vege- 
table, 1 boiled rice with molasses, 3 and bread. 

Friday. — Boiled fresh fish with drawn-butter sauce, potatoes, beets or 
some other vegetable. 1 boiled hasty pudding with molasses, and 
bread. 

- rday. — Hot baked beans, potatoes, baked Indian or bread pud- 
ding, pickles and bread. 

Sunday. — Cold corned beef, potatoes, pies (the kind varying with the 
season) and bread. 



Supper. 
Monday. — Tea, bread and butter, and hard gingerbread. 
Tuesday. — Tea, bread and butter, and soft gingerbread. 
Wednesday. — Tea. bread and butter, cake or ginger snaps, and some 

kind of relish. 
Thursday. — Tea. bread and butter, and cookies. 
Friday. — Tea, bread and butter, and soft gingerbread. 
Saturday. — Tea. bread and butter, cake or ginger snaps, sauce. 
Sunday. — Tea, bread and butter, and cookies. 

Extras. 

In the winter and spring months, hulled corn at supper on Saturdays. 

In August and September these tables are furnished at supper with 
either berries, tomatoes or baked apples, as many as five times a week. 

In eight halls, sauce of either fresh or dried apples is furnished four 
times a week for the rest of the year. 

Extras for the Whole Household. 

All persons have roasted turkey at dinner on Thanksgiving Day and 
on Christmas, with vegetables, celery, cranberry sauce, pudding, pie 
and eider. 

From four to five bushels of green sweet corn in the ear is consumed 
in its season, daily, with the exception of Sunday. 

Strawberries, tomatoes, cucumbers and melons are furnished in liberal 
quantities in their season. 

s in t he summer. 
I baked puddings for the whole household are made with milk. 
1 Maple syrup is furnished, in place gi" molasses, three or four times in the spring. 



1908.] PUBLIC DOCUMENT— No. 21. 19 

In the spring, cowslips and dandelions are largely used as greens, and 
horse-radish as a condiment. 

During eight months of the year, apples are distributed, daily, among 
the patients. 

Beef tea, chicken broth, mutton broth, scalded milk, arrow-root gruel, 
oatmeal gruel, milk punch, cracked wheat, oatmeal porridge, dry toast, 
milk toast, toast with dropped egg, and boiled eggs, for invalids and all 
who are not able to take the regular fare. 



20 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



ARTICLES MADE IN SEWING ROOM. 



Aprons, 


. 493 


Milk cloths, 






137 


Bandages, . 


6 


Mittens, . 




69 


Bath robes, 


10 


Night caps, 




36 


Bureau covers, . 


297 


Night gowns, long, 




17 


Caps, 


. 484 


Night gowns, short, 




235 


Carpets, 


2 


Napkins, . 




212 


Chair cushion, 


1 


Ox blankets, 






3 


Chemises, . 


136 


Petticoats, 






243 


Clothes bags, 


68 


Pillow cases, 






1,428 


Corset covers, 


10 


Pillow ticks, 






8 


Covers for laundry extractor 


7 


Rugs, 






66 


Curtains, shades, 


168 


Sheets, 






1,679 


Curtains, sash, . 


107 


Shirts, 






255 


Curtains, screen, 


36 


Shirt waists, 






21 


Dresses, 


293 


Stand covers, 






525 


Dress skirts, 


3 


Table cloths, 






193 


Dresses made over, 


4 


Towels, 






2,961 


Drawers, . 


33 


Towels, roller, 






140 


Holders, 


175 


Tray cloths, 






214 


Mattress ticks, . 


152 





UPHOLSTERY DONE IN THE YEAR. 



Hair mattresses made, new material, . 
Hair mattresses made, old material, . 
Hair mattresses made, old hair, new ticks, 
Hair pillows made, new material, 
Hair pillows made, old material, 
Feather pillows, new ticks, 
Lounges upholstered, 



42 

222 

183 

12 

62 

3 

3 



190S." 



PUBLIC DOCUMENT — No. 21. 



21 



OFFICERS AND EMPLOYEES. 

|Time employed, Nov. 30, 1908.] 



NAMES. 


Years. 


Months. 


Days. 


John A. Houston, M.D., superintendent, 


19 


2 


7 


Harriet M. Wiley, M.D., assistant physician, . 


8 


9 


29 


Charles H. Dean, M.D., assistant physician, 


8 


6 


21 


Grace E. B. Rice, M.D., assistant physician, 


5 


- 


27 


Edward W. Whitney, M.D., assistant physician, 


3 


2 


11 


C. Stanley Raymond, M.D., assistant physician, 


2 


5 


- 


Lewis F. Babbitt, treasurer, .... 


17 


1 


18 


Burton G. Fiske, supervisor, .... 


5 


1 


15 


Alice E. Bedell, assistant superintendent of 








nurses, ....... 


6 


3 


20 


Susan E. Warren, matron, .... 


14 


8 


8 


Martha G. Jones, secretary to superintendent, 


15 


4 


11 


Helen M. Bailey, stenographer, 


2 


5 


26 


Joseph G. Cook, farmer, .... 


2 


4 


5 


Lucy A. Gilbert, clothes marker, 


40 


10 


17 


George N. Drury, steward, .... 


11 


2 


- 


William J. Moore, assistant steward, 


12 


1 


3 


Horace Cass, assistant steward, 


- 


- 


27 


Jay E. Cook, baker, ..... 


9 


9 


- 


Leon E. Bruce, assistant baker, 


3 


5 


4 


George W. Thornily, florist, .... 


15 


7 


11 


Waverly D. Packard, engineer, 


1 


5 


13 


Leroy Kellogg, assistant engineer, . 


4 


7 


6 


Thomas Butterworth, assistant engineer, 


1 


- 


17 


William C. Day, assistant engineer, 


17 


7 


29 


Frank Keyes, assistant engineer, 


2 


11 


25 


Gottlieb Beer, fireman, 




1 


- 


12 


Earl Kron, fireman, 




1 


5 


8 


Francis Pond, fireman, . 




- 


4 


5 


Helfrid N. Fiske, seamstress, . 




2 


10 


19 


Lillian Dean, assistant seamstress, 




- 


7 


1 


Susan E. Norton, assistant seamstress, . 


- 


7 


29 


Jennie Ryan, assistant seamstress, 


- 


7 


5 


Charles E. Williams, laundryman, . 


11 


2 


29 


Margaret Sweeney, laundress, 




3 


9 


27 


Ellen Moore, laundress, . 




2 


5 


2 


Martha C. Greene, laundress, 




- 


10 


2 


Katherine McGrath, laundress, 




- 


5 


17 


Alma M. Bugbee, usher, 




- 


9 


26 


Louise Littlefield, usher, 




- 


1 


25 


Jennie M. Calder, cook, 




- 


- 


22 


Anna Deplidge, cook, . 




- 


7 


17 


Harriet Briggs, rear housework, 




7 


3 


22 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



NAMES. 



Year- 



Months. 



Day; 



Katherine C. Hall, center housework, 

Gladys Durkee, center housework, . 

Rhoda French, dining room, . 

Lillian Ellsworth, center dining room, 

Mary E. Shea, center dining room, 

Nellie McGrath, kitchen, 

Lizzie McNally, kitchen, 

Anna Thomas, kitchen, . 

Helen Flaherty, kitchen, 

Lillian Cronje, kitchen, 

James Ruddy, kitchen, 

Harry W. Love, watchman, 

Arthur C. Allard, nurse, 

Richard Austin, nurse, . 

Alexander Beaton, nurse, 

George Begor, nurse, 

John L. Benson, nurse, 

John J. Bradley, nurse, 

Henry Burley, nurse, 

Herbert Collier, nurse, 

Robert Courtney, nurse, 

David DeLong, nurse, . 

Bertram H. Freeman, nurse, 

Allison George, nurse, . 

Noah Haskell, muse, 

George M. Hathaway, nurse, 

Arthur Joslyn, nurse, . 

Chester Kenney, nurse, 

Josiah Littlefield, nurse, 

Martin Luther, nurse, . 

James Moore, nurse, 

Charles Pease, nurse, 

Charles Percy, nurse, . 

Joseph Prokop. nurse, . 

Charles Rathburn, nurse, 

George Smith, nurse, 

James Sullivan, nurse, . 

Renold A. Tier, nurse, . 

Albert C. Warren, nurse, 

Harry Webb, nurse, 

Pearl I. Wiley, nurse, 

Frank M. Wilson, nurse, 

Goldie Bickford, nurse, 

Corirmie Blodgett, nurse, 

Annie Boothe, nurse, 

Lillian Brown, nurse, 

Minnie B. Carey, nurse, 

Adeline Corbett, nurse, 

Mabel Dean, nurse, 

Lulu Drew, nurse, 

Isobell Ferguson, nurse, 



5 


28 


6 


19 


2 


12 


11 


11 


6 


3 


7 




2 


2 


2 


6 


1 


2 


- 


18 


1 


26 


11 


22 


1 


16 


2 


6 


4 


14 


7 


2 


1 


29 


6 


18 


- 


12 


1 


5 


7 


27 




21 


2 


17 


1 


6 


6 


- 


1 


7 


1 


27 


3 


12 


1 


26 



11 



1 


4 




10 


- 


3 


- 


6 


- 


1 


- 


1 


1 


2 


- 


9 


3 


5 


- 


2 


3 


9 


1 


6 


1 


2 


— 


3 



15 

27 

6 

15 



21 
9 

14 

24 

19 

8 

3 

25 

22 

5 

6 

8 

7 

12 

27 



1908 



PUBLIC DOCUMENT— Xo. 21. 



23 



NAMES. Yeare. 


Months. 


Days. 


Elizabeth Graham, nurse, 


4 




10 


Mary G. Herbert, nurse, 








- 


- 


1 


Annette Hurd, nurse, . 








- 


4 


21 


Elizabeth James, nurse, 








2 


5 


11 


Mabel James, nurse, 








2 


6 


22 


Margaret Kelly, nurse, . 








- 


7 


- 


Helen Kruser, nurse, 








- 


4 


2 


Clara LaDue, nurse, 








3 


10 


4 


Effie Mahy, nurse, 








4 


4 


24 


Evelyn May Manning, nurse, 








- 


4 


- 


Margaret Pease, nurse, . 








3 


5 


19 


Lillian M. Purcy, nurse, 








1 


7 


23 


Jennie Rogers, nurse, . 








- 


3 


29 


Pearl Simmons, nurse, . 








2 


1 


16 


Annie Smith, nurse, 








1 


11 


- 


Blanche Smith, nurse, . 






1 


2 


_ 


Florence Stevens, nurse, 








1 


29 


Emily W. Stewart, nurse, 






4 


- 


2 


Elizabeth Tremblay, nurse, . 








- 


11 


15 


Alice Ward, nurse, 








- 


8 


25 


Niola Watson, nurse, 








2 


5 


19 


Phoebe Wheeler, nurse, . 








2 


10 


20 


Annie Wilson, nurse, 








1 


7 


4 


Amy Yeo, nurse, . 








2 


1 


16 


Albert C. Burnett, painter, 








2 


6 


28 


Thomas P. Clair, plumber, 








10 


7 


— 


Albert DeGrandpre, carpenter, 








3 


10 


— 


Henry Maynard, carpenter, . 








- 


5 


22 


Alfred Parenteau, painter, . 






41 


3 


17 


Martin L. Sornborger, plumber, 






5 


- 


6 


Roscoe Tobin, plumber, 






6 


- 


28 


Walter M. Tower, carpenter, . 






29 


10 


_ 


Cornelius Barry, farmer, 








8 


_ 


Orrin Blodgett, farmer, . 








2 


4 


8 


C. H. Buckwold, farmer, 








_ 


1 


11 


James Denny, farmer, . 








_ 


1 


24 


Xavier Dion, farmer, 








15 


5 


16 


Thomas Drozdial, farmer, 






! 






Henry L. Fuller, farmer, 






! 7 


9 


2 


Nicholas Krajnyak, farmer, . 






3 


7 


11 


B. McXamara, farmer, . 






10 


7 


8 


Fred Sanborn, farmer, . 






1 


G 


22 


Thomas Fagan, farmer, 








8 




J. F. Finn, farmer, 








_ 


8 


_ 


Joe Funne, farmer, 








_ 


7 


23 


Henry McCoy, farmer, . 








1 


8 


10 


Joseph Young, farmer, . 








3 


8 


2 


Walter C. Streeter, herdsman, 








5 


3 


1 


David Mercier, coachman, 








9 


13 


H. Ohrstrom, gardener, . 








2 


5 


25 


Alex G. Wylie, gardener, 








3 


11 


27 



24 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



LIST OF PERSONS REGULARLY EMPLOYED 

AT THE NORTHAMPTON STATE 

HOSPITAL. 



Superintendent and physician (per ye 

Assistant physician (per year), 

Assistant physician (per year . 

Assistant physician (per year), 

Assistant physician (per year), 

Tr -surer and clerk (per year), 

Engineer, with house rent iper ye 

Farmer, with house rent sar), 

Florist, without board 'per year), 

Matron (per month), 

Superintendent of nurses (per mo: 

Assistant superintendent of nurses iper month) 

Secretary to superintendent (per month I, 

Stenographer (per month . 

Seamstress (per mo:. th 

Ass stant seamstresses (3) (per month'. 

Laundryrnan (per month). 

Laundresses (4) (per month), . 

Baker (per month 

Assistant baker (per month), . 

Steward, with partial board <per month) 

Assistant sf jwar ; . ; ei m nl 

Assistant steward (per month), 

Nurses men. 30) (per month), 

Nurses I women. 33) (per month). 

Ushers (2) (per month), . 

Housemaids (3) i per month), . 

War: (per months. 

Cooks (2) (per month), . 

Kitchen girls (5) (per mon r : 



- 00 00 

1.300 00 

1.100 00 

00 00 

900 00 

'0 00 

1.1(30 00 

40 00 

40 00 
40 00 
30 00 
25 00 
18 00 
50 00 
I to 22 00 
55 00 
40 00 
60 00 

$25 00 to 35 00 
19 00 to 30 00 
17 00 to 18 

18 00 
|2£ € to 30 00 

16 00 to IS 00 



1908.] 



PUBLIC DOCUMENT— No. 21. 



25 



Clothes marker (per month), . 

Painter (per month), 

Painter (per month), 

Assistant engineers (4) (per month), 

Fireman (3) (per month), 

Coachman (per month), . 

Farm laborers (10) (per month), 

Farm laborers (5) (per day), . 

Herdsman (per month), . 

Gardeners (2) (per month), 

Watchman (per month), 

Kitchen helper (per month), . 

Carpenter (per day), 

Carpenter (per day), 

Carpenter (per day), 

Plumber (per year), 

Plumber (per month), 

Plumber (per day), 









825 00 








60 00 








50 00 








$37 00 to 60 00 








33 00 to 37 00 








42 50 








$25 00 to 33 00 








1 75 








35 00 








$50 00 to 55 00 








40 00 








28 00 








2 75 








2 75 








2 00 








1,000 00 








45 00 








2 25 



2G 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



FARM PRODUCTS. 



Apples, 200 barrels, 
Asparagus, 30 bushels, . 
Beans, lima, improved, 182 bushels, 
Beans, shell, 78 bushels, . 
Beans, wax string, 120 bushels, 
Beans, green string, 6-4 bushels, 
Beef, cow, 14,933 pounds, 
Beef, steer, 12,651 pounds, 
Beets, greens, 93 bushels, 
Beets, table, 349 bushels, 
Broom brush, 2,000 pounds, 
Broom brush seed, 1,200 pounds, 
Cabbage, 10,S16 heads, . 
Carrots, 421 bushels, 
Cauliflower, 450 heads, . 
Celery, 100 dozen bunches, 
Cherries, 295 quarts, 
Chickens, broilers, 260 pounds, 
Chickens, roasters, 840 pounds, 
Cider, 236 gallons, . 
Corn fodder, 125 tons, 
Corn, green, 695 bushels, 
Corn, shelled, 481 bushels, 
Corn, pop, 31 bushels, 
Cucumbers, 188 bushels, 
Cucumbers, pickles, 48 bushels. 
Currants, 42 quarts, 
Eggs, 850 dozen, . 
Ensilage, 625 tons, 
Fowl, 405 pounds, . 
Gooseberries, 10 quarts, 
Grapes, 277 pounds, 
Hay. first growth. 307 tons. 
Hay, second growth, 66 tons. 
Hay, bedding, 5 tons, 
Ice, 600 tons, 

Amount carried forward, 



S600 00 


127 50 


273 00 


97 50 


150 00 


80 00 


895 98 


1,012 08 


32 55 


174 50 


120 00 


60 00 


540 80 


252 60 


45 00 


S5 00 


36 87 


65 00 


184 80 


28 60 


625 00 


521 25 


3S4 SO 


62 00 


376 00 


76 SO 


4 62 


297 00 


3,125 00 


60 75 


1 10 


8 31 


5,526 00 


790 45 


40 00 


1,800 00 


S18,560 86 



1908.1 



PUBLIC DOCUMENT— No. 21. 



27 



Amount brought forward, 








$18,560 86 


Lettuce, 215£ bushels, . 215 50 


Lumber, 40,014 feet, 








1,400 49 


Manure, 28^ cords, 








170 90 


Melons, musk, 164 crates, 








287 00 


Melons, water, 7f hundred, 








116 25 


Milk, 267,836 quarts, 








13,391 80 


Onions, 308^- bushels, 








262 23 


Oats, green fodder, 10 tons, 








50 00 


Oats, straw, 2 tons, 








20 00 


Oats, 100 bushels, . 








55 00 


Parsley, 14 bushels, 








7 00 


Parsnips 375 bushels, 








281 25 


Pears, 9^ bushels, . 








16 63 


Pease, 157 bushels, . 








157 00 


Peppers, 3^ bushels, 








2 63 


Pigs, roast, 3, 








9 00 


Plums, 3 baskets, . 








90 


Pork, 30,154 pounds, 








2,412 32 


Posts, fence, 526, . 








131 50 


Potatoes, 529 bushels, 








423 20 


Potatoes, small, 267 bushels, 








53 40 


Pumpkins, 6,262 pounds, 








187 86 


Quince, ^ bushel, . 








1 00 


Raspberries, 159 quarts, 








15 90 


Radishes, 33^ dozen bunches, 
Rhubarb, 10,330 pounds, 








168 50 








206 60 


Rye straw, 8 tons, . 








120 00 


Rye, green fodder, 7 tons, 








35 00 


Rye, 80 bushels, 








64 00 


Spinach, 617 bushels, 








246 80 


Squash, summer, 64 barrels, 








64 00 


Squash, winter, 411 barrels, 








616 50 


Strawberries, 1,908 quarts, 








152 64 


Tomatoes, ripe, 389 bushels, 








291 75 


Tomatoes, green, 53 bushels, 








26 00 


Turnips, 300 barrels, 








375 00 


Veal, 750 pounds, . 








82 50 


Wood, 198 cords, . 








888 75 




<R41 ^A7 (\(\ 


<b^tl,Qvi OO 


Sales : — 


Calves, 32, ... $312 50 


Cabbage, 409 heads, . 








20 45 



Amounts carried forward, 



$332 95 $41,567 66 



28 NORTHAMPTON STATE HOSPITAL. [Dec. 

Amounts brought forward, . . . $332 95 $41,567 66 



Chickens, 10 pounds, 










2 50 




Eggs, 10 dozen, . 










4 00 




Hay, 4,955 pounds, 










49 55 




Hides, 










398 20 




Horse, 1, . 










150 00 




Manure, 3 cords, 










9 10 




Pigs, . 










5 00 




Wood, 










33 75 




Miscellaneous, 










76 30 








1,061 35 




Total farm products, ...... 


$42,629 01 


ive stock belonging to the hospital : — 




Bulls, 3, . 


. $300 00 




Calves, 4, . 












140 00 




Colts, 3, . 












250 00 




Cows, 70, . 












5,920 00 




Fowls, 250, 












187 50 




Heifers, 36, 












1,170 00 




Hogs, 205, 












1,956 00 




Horses, 13, 












2,550 00 




Oxen, 20, . 












1,500 00 




Total live stock, .... 


• ^ 


$13,973 50 



1908. 



PUBLIC DOCUMENT— No. 21. 



29 



VALUATION, 



Real Estate. 








Five hundred and eleven acres of land (cultivated 210, wood- 




land, 92; pasturage, 185; grounds, 23), 


$56,900 00 


Hospital building, ..... 






616,619 86 


Farmhouse, ..... 








1,500 00 


Brick house, ..... 








1,700 00 


Six dwellings, .... 








5,500 00 


Storehouse, shops and cold storage, . 








30,000 00 


Two barns, ..... 








5,000 00 


Cow stable, ..... 








13,000 00 


Horse stable, .... 








6,000 00 


Piggery, 








3,000 00 


Lumber shed, .... 








850 00 


Cart shed, ..... 








400 00 


Pump house, .... 








400 00 


Ice house, ..... 








300 00 


Paint shop, ..... 








2,039 80 


Total real estate, ...... 


$743,209 66 


Personal Estate. 




Inventory of stock and supplies on hand Nov. 30, 1908: - 




Live stock on farm, .... 




$13,973 50 


Produce of farm on hand, 




13,497 64 


Carriages and agricultural implements, 




6,115 00 


Machinery and mechanical fixtures, . 




21,750 00 


Beds and bedding in inmates' department, 




16,000 00 


Other furnishings in inmates' department, 




10,800 00 


Personal property of State in superintendent's < 


lepartment 


10,000 00 


Ready-made clothing, .... 




2,209 96 


Dry goods, .... 








1,796 46 


Provisions and groceries, 








6,972 52 


Drugs and medicines, 








600 00 


Fuel, 








3,568 40 


Library, .... 








1,250 00 


All other property, 








2,799 80 


Total personal estate, ..... 


$111,333 28 



30 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



TREASURER'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I herewith submit a report of the finances of the Northampton 
State Hospital for the fiscal year ending Nov. 30, 1908. 



Receipts 
Received for support of patients, viz. : - 
From individuals, .... 
From reimbursements : — 
At institution, 
By State Board of Insanity, 

From soldiers' relief, 

Miscellaneous, interest on bank balance, 

Sales from purchases and products : — 
Salaries, wages and labor, 
Provisions and groceries, 
Clothing and clothing material, 
Furnishings, . . 

Repairs and improvements, 
Farm, stable and grounds, 
Miscellaneous, .... 



Receipts from State Treasurer : — 
Account current expense, appropriation 1907, 
Account current expense, appropriation 1908, 
Account special appropriations, 
. Rebate, patient's board, 
Cash advance, ..... 



$33,258 30 



Total receipts, 



$11,232 70 




187 32 






11,420 02 






169 92 




116 69 


$6 98 




108 86 




189 86 




10 47 




1 82 




. 1,061 35 




141 59 






1,520 93 






$46,485 86 


$13,571 66 




148,961 20 




16,944 23 




23 15 




2,000 00 






181,500 24 






$227,986 10 



1908." 



PUBLIC DOCUMENT— No. 21. 



31 



Payments. 
For salaries, wages and miscellaneous bills due Nov. 30, 1907, 

paid from current expense appropriation of 1907, . 
Current expenses for fiscal year ending Nov. 30, 1908 : — 

Salaries, wages and labor : — 



$13,571 60 



Medical service, 


. $7,949 98 


Ward service, male, 


. 11,522 11 


Ward service, female, 


. 11,488 78 


General administration, . 


. 16,590 81 


Repairs and improvements, 


5,491 88 


Farm, stable and grounds, 


. 10,328 76 




Qf\Q 9TO OO 




•iJOOjO/ii oZ 


Food: — 




Butter, .... 


$7,053 32 


Butterine, .... 


91 72 


Beans, ..... 


457 45 


Bread and crackers, 


532 71 


Cereals, rice, meal, etc., . 


1,373 73 


Cheese, .... 


278 98 


Eggs, ... 


5,534 01 


Flour, ..... 


4,410 55 


Fish, 


2,235 77 


Dried and fresh fruit, 


1,926 08 


Meats, ..... 


7,727 52 


Milk, 


196 00 


Molasses and syrup, 


466 56 


Sugar, 


3,458 99 


Tea, coffee, cocoa, etc., . 


1,516 26 


Vegetables, .... 


2,511 88 


Yeast, ..... 


211 25 


Salt, 


75 40 


Lard, ..... 


525 01 


Sundries, . 


741 55 




J.1 9Q.1 74 




'±l,OZ'± i ^t 


Clothing and clothing material : — 




Boots, shoes and rubbers, 


$1,110 57 


Clothing, . . . . . 


1,982 48 


Dry goods for clothing, and smal 




wares, . 


1,376 48 


Furnishing goods, . 


416 84 


Hats and caps, . 


57 58 


Sundries, . 


61 92 




c r\r\z. 07 




o,uuo 0/ 



Amounts carried forward, 



9,702 93 $13,571 66 



- 



NORTHAMPTON STATE HOSPITAL. 



[Dec, 



Amou 



$109.7-12 93 $13,571 66 



Furnishings: — 




bedding, table linen, etc.. 


| g g 


Brushes, brooms, etc.. 


92 53 


Carpets, rugs, etc.. 


38 - 


Crockery, glassware, cutlery, etc.. 


610 :: 


Furniture and upholstery. 


651 92 


" ~ 


74 1 3 




a -inx oo 


Heat, light and power: — 


O.IUO O — 





$7,761 66 


Wood ( charcoal), . 


162 50 


Electricity. . 


22 08 


. 


114 _ 


Oil, 


140 54 


Sundries, ... 


155 56 




o,ouO iO 


airs and improvements: — 




Cement, lime and plaster. 


SSI 85 


Doors, sashes, etc.. 


4 00 


Electrical work and supplies, 


584 06 


Hardware, iron, steel, etc.. 


l,( S 


Lumber, 


1.231 85 


Machinery, etc.. 


21 " 


Paints ils glass, etc., . 


1,190 22 


Plumbing, steam fitting and supplies 


. 1,178 32 


Roofing and materials. . 


24 40 


hanica and laborers (not on pa% 




ro:: 


433 41 


Cold storag 


280 81 


- 


60 76 




fi 1 9. ^ 09. 




O.loO uo 


Farm, stable and grounds: — 




Blacksmith and supplies 


$504 is 


Carriages, wagons, etc., and repairs, 


494 49 


- ~ r c. . 


1.956 49 


gnu - .. . 


8,798 71 


.esses and repairs, . 


184 30 


Horses 


125 00 


- 


1.575 _ 


Other five stock 


2,479 62 


Labor (not on pay roll ), 


165 30 


Rent 


50 00 



A aried forward. 



$16,334 01 $130,309 54 $13,571 66 



1908. 



PUBLIC DOCUMENT— No. 21 



33 



Amounts brought forward, 



$16,334 01 $130,309 54 $13,571 66 



Tools, farm machines, etc., 




573 


18 




Sundries, .... 




423 


39 


17,330 58 








Miscellaneous: — 










Books, periodicals, etc., . 




$199 


34 




Chapel services and entertainments, 


812 


00 




Freight, expressage and transporta- 








tion, ..... 




390 


91 




Funeral expenses, . 




60 


00 




Ice, ..... 




39 


00 




Labor (not on pay roll), . 




156 


00 




Medicines and hospital supplies, 




1,621 


77 




Patients boarded in private families 


671 


72 




Medical attendance, nurses. 


etc. 








extra, .... 




36 


00 




Postage, .... 




261 


30 




Printing and printing supplies, 




262 05 




Return of runaways, 




111 


51 




Soap and laundry supplies, 




1,137 


20 




Stationery and office supplies, 




311 


91 




Travel and expenses (officials), 




624 


06 




Telephone and telegraph, * . 




135 


82 




Tobacco, .... 




831 


74 




Water, 




3,058 63 




Printing annual report, . 




152 


11 




Sundries, .... 




486 81 












11,359 88 






1 


Total current expenses, 


159,000 00 



Less schedule of salaries and wages and miscel- 
laneous bills for November, 1908, approved 
but unpaid and included in the foregoing item- 
ized statement of current expenses, 



10,038 80 



For payments to the Treasurer 
count income : — 

By the institution, . 
By Board of Insanity, 



For rebate prepaid Board, 

For account special appropriations, 

For cash advance, . 



of the Commonwealth, ac- 



$46,298 54 
187 32 



148,961 20 



46,485 86 

23 15 

16,944 23 

2,000 00 



Total payments, 



$227,986 10 



34 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Summary. 



Total rea 
Total payments. 



1227 «6 10 
227 «6 10 



tt( es and Liabilities. 
Ri son 
Balance of maintenance appropriation with 



State Treasurer. 
Unexpended special appropriations. 



$10,038 3 

3.570 83 



$13,G 



Liabilities. 


On account of maintenance: — 




Salaries and wages. 


$5,244 12 


Food. ..... 


1,608 95 


Clothing and clothing material. 


506 64 


Furnishing-. ... 


134 87 


Heat, light and power. . 


73 35 


Repairs and improvements. 


286 41 


Farm, stable and grounds. 


1.4S2 02 


Miscellaneous, 


702 44 




: — $10,038 * 



On account of special appropriations: — 
Bills due on account of special appropriation. 

Total liabilities, .... 

Balance for the institution : — 
On account of special appropriation. 

Current expenses, ..... 

Average number of patients. . 

Average weekly cost, .... 



65 20 



10.104 00 



$3,505 63 

. $159,000 00 

8 - 



Statement of Funds. 
Patients' Fu 
Balance on hand March 16, 1908, . . . $1.372 61 
Receipts 020 35 



Refunded, .... 
Balance on hand Nov. 30. 1908. 



967 65 
SI. 325 31 



1908.1 PUBLIC DOCUMENT — No. 21. 35 



Fred B. Kelly Fund. 

On hand Dee. 1, 1907, S606 18 

Income, 22 93 



Balance on hand Nov. 30, 1908, . . . . . $629 11 

Respectfully submitted, 

LEWIS F. BABBITT, 

Treasurer. 



36 



NORTHAMPTON STATE HOSPITAL. [Dec. 1908. 



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STATISTICAL TABLES 



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for 

jnts 

yea 

\' oo 
1 as 


ls in hospital Oct. 1, 1907, . 
ed within the year, 

by commitment, 

voluntary 

by transfer, . 

from escape, . 

from visit, 

nominally admitted from visit 
number of cases within the year 
sed within the year, 

Discharged, . 
as recovered, . 
as capable of self-support, 
as improved, . 
as not improved, 
as not insane, . 

died, 

transferred, . 

escaped, 

on visit Oct. 1, . 
s remaining Sept. 30, 1908, . 

supported as State patients, 

as private patients, 
as reimbursing path 
rof different persons within the 
r of different persons admitted, . 
rof different persons admitted b; 
r of different persons dismissed, 
r of different persons recovered, 
r of different persons dischargee 

upport, 

verage number of patients, 

State patients 

private patients, 

reimbursing patients, 


























Patient 

Admitt 
Viz. : 

Whole 

Dismis 

Viz.: 

Patient 
Viz. : 

Numbe 
Numbe 

Numbe 
Numbe 
Numbe 
Numbe 

self-s 
Daily a 

Viz.: 











40 



N( fRTHAMPTON STATE HOSPITAL. 



De< 



f m 


— Insane received on First and Subsequent Commitrnt 




• COMMITTED. 




number ::tmext>. 

Ma- \ies Totals. 



rhis hospital, 




• 










134 


131 


- 


Second to this hospital, 














M 


a 


44 


Third to this hospital, 














3 


. 


i 


Fourth to this hospital, 














- 


_ 


■T 


Fifth to this hospital, 














- 




■ 


Sixth to this hospital, 














1 


i 


■1 


Severn; - coital, 














1 


- 


1 


Eighth to thta 














1 


- 


1 


- - 


15? 


161 


32-2 


Total persons, 














157 


163 


. 


-fore in any hospital for insane, 






127 


124 


251 



3. — Nat ■ ■ of Insane Pt \dmitted to A- v 

Hospital. 



Male;. 



r ITaLI- 



PLACES OF NATIVITY. 



.- tte 
Other New England States 

Other State - 

Total native, 

Other con 
Austria, . 
Bulgaria, 
Canada, . 
England, 
France, . 
Germany. 
Holland, . 
Ireland. . 
Italy, 
Poland. . 
Russia, . 
Scotland, 
Spain, 
Sweden, . 
Switzerland, 



tal fore 

Unknown, 

Totals, 



-'"• 



21 98 48 I 51 

5 22 :: 16 

13 31 



IS] 



124 124 124 



98 


51 


-" 


69 


4 


39 


151 




2 


I 


2 


2 


•2 


2 


4 


4 


- 


- 


- 


- 


1 


1 


- 


1 


11 


14 


M 


11 


11 


11 


-. 


:■ 


3 


E 


6 


6 


7 


7 


■ 


i- 


- 


1 


- 


1 


1 


1 


1 


2 


4 


- 


7 


2 


3 


2 


6 


11 


- 


- 


- 


1 


1 


1 


1 


: 


16 


» 


41 


2S 


47 


45 


44 


S3 


2 


2 


2 


- 


- 


- 


2 


2 


1 


1 


1 


1 


1 


1 


- 


2 


2 


2 


'2 


1 


1 


1 


3 


3 


2 


2 


2 


2 


2 


'. 


4 


4 


1 


1 


i 


- 


- 


- 


1 


1 


1 


1 


1 


- 


1 


1 


1 


2 


- 


- 


_ 


- 


1 


1 


- 


1 



154 



1 



1908.] 



PUBLIC DOCUMENT— No. 21. 



41 



4- — Residence 0} Insane Persons admitted by Commitment. 









FlEST ADMITTED 
TO AXY 

Hospital. 


All Other 
Admissions. 


Totals. 


PLACES. 


.2 
"3 


to 

V 

"3 
S 



00 

1 


00 
"3 


"3 

I 


CO 

1 


co 

*3 

a 


co' 

"3 

1 


00 
"3 



Hampshire County, 






•24 


25 


49 


3 


7 


10 


27 


32 


59 


Hampden County, . 






57 


56 


113 


11 


18 


29 


68 


74 


142 


Franklin County, . 






16 


9 


25 


5 


5 


10 


21 


14 


35 


Berkshire County, 






30 


34 | 64 


11 


8 


19 


41 


42 


83 


Suffolk County, 






- 


-1 - 


- 


1 


1 


- 


1 


1 


Totals, 


127 


124 1 251 


30 


39 


69 


157 


163 


320 


Unknown, 








"I " 














Totals, 


127 


124 


251 


30 


39 


69 


157 


163 


320 


Cities and towns, . 






82 


88 


170 


19 


31 


50 


101 


119 


220 


Country districts, . 






45 


36 


81 


11 


8 


19 


56 


44 


100 


Totals, 


127 


124 


251 


30 


39 


69 


157 


163 


320 



— Civil Condition of Insane Persons first admitted to Any Hospital. 





Males. 


Females. 


Totals. 


Unmarried, 


59 


46 


105 


Married, 


43 


49 


92 


Widowed, 


23 


26 


49 


Divorced 


2 


3 


5 


Unknown 


- 


- 


- 


Totals, 


127 


124 


251 



42 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



6. — Occupation of Insane Persons first admitted to Any Hospital. 



MALES 



Baker, ..... 1 


Meat cutter, . 


1 


Barber, . 






1 


Merchant, 


1 


Basket maker, 






1 


Operatives, . 


19 


Bookkeeper, . 
Bricklayers, . 






1 
2 


Painters, 
Physician, 


2 

1 


Carpenters, . 






5 


Printers. 


2 


Carriage painter, 
Cigar maker,. 
Coachman, . 






1 
1 
1 


Railroad engineer,. 
Shoemakers, 
Stationary firemen. 


1 

4 
2 


Druggist, 
Engineer, 






1 
1 


Students, 
Tailors, 


2 

2 


Farmers, 






12 


Teamsters, . 


2 


Farm laborers, 






10 


Time keeper. 


1 


Grocer, . 






1 


Watchman, . 


1 


Iron worker, 






1 


Whip makers, 


2 


Laborers, 
Leather worker, 
Machinists, . 






26 
1 
6 


Xo occupation, 
Total, . 


10 

127 


Manufacturer, 






1 







FEMALE- 



Bookkeepers, 
Clerks, . 
Cooks, . 
Domestics, . 
Housekeepers, 
Laundresses, . 
Music teacher, 
Nurse, . 



3 Operatives, . 

3 Rag sorter, . 

_' Students, 

13 Teacher, 

11 Xo occupation, 
2 



Total, 



16 
1 
5 

1 
21 

80 



1908.] 



PUBLIC DOCUMENT — No. 21. 



43 



Occupation of Insane Persons first admitted to Any Hospital 
Concluded. 





WIFE 


OF — 








Blacksmith, . 


. 1 


Laborer, . . . .13 


Brakeman, . 


1 


Operative, . 






. 5 


Carpenter, 

Clerk, .... 


. 2 
. 2 


Physician, 
Plumber, 








Collector, 


1 


Saloon keeper, 








Designer, 


1 


Shoemaker, . 








Engineer, 


1 


Steamfitter, . 








Farmer, . 


6 


Teamster, 








Gardener, 


1 


Waiter, 








Hack driver, 
Machinist, 


1 

1 


Total, . 


. 


44 


Merchant, . . . . 


1 











44 



NORTHAMPTON STATE HOSPITAL. 



[Dec, 



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PUBLIC DOCUMENT -Xo. 21. 



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46 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



9. — Probable Duration 


of Mental Disease 


before Admission. 


PREVIOUS DURATION. 


FlBST ADMITTED TO ANY HOSPITAL. 


Males. 


Females. Totals. 


Congenital, . 








22 


9 


31 


Under 1 month, 








27 


10 


37 


From 1 to 3 months, 








23 


20 


43 


3 to 6 months, 








13 


11 


24 


6 to 12 months, 








10 


13 


23 


1 to 2 years, 








14 


10 


24 


2 to 5 years, 








12 


27 


39 


5 to 10 years, 








3 


14 


17 


10 to 20 years, 








2 


4 


6 


Over 20 years, 








- 


2 


2 


Totals, . 


126 


120 


246 


Not insane, . 








1 


- 


1 


Unknown, 








- 


4 


4 


Totals, . 


127 


124 


251 


Average known duration (in years), 


.97 


2.4 


1.7 



1908.] 



PUBLIC DOCUMENT — No. 21. 



47 






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A. — First admitted to any hospital : — 
Insane: — 
Acute alcoholic insanity, . 
Acute delirium, .... 
Chronic alcoholic insanity, 
Dementia praecox, 

Epilepsy, 

Huntington's chorea, . 
Involution psychosis, 
Manic-depressive insanity : — 

Depressed form, 

Maniacal form, 

Mixed form, .... 
Mental deficiency, 
Organic dementia, 

Paranoia 

Paresis, 

Secondary dementia, . 
Senile dementia, .... 
Toxic insanity, acute, 
Morphine hahit, .... 
Not insane, 


3 

© 



48 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



c 
o 






5 



1 

r 



8 

SI 



ft. 
I 



Total 
Discharges 
and Deaths. 


•spnox" 


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B. — Other admissions : — 
Insane : — 
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Chronic alcoholic insanity, 
Dementia pra'cox, . 

Kpilepsy, 

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Manic-depressive Insanity : — 

Depressed form 

Maniacal form 

Mixed form, 

Mental deficiency, .... 

I'aranoia, 

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Senile dementia, .... 
Toxic insanity, morphinism, . 


Total I?, 

Aggregate cases 

Aggregate persons, 





1908." 



PUBLIC DOCUMENT — No. 21. 



49 



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First to this hospital, 
Second to this hospital, 
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Fifth to this hospital, 
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Total cases, 

Total persons, 

First admitted to any 
hospital, 



50 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 





■Bl«*ox 


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General diseases : — 

Carcinoma 

Chronic mercurial poisoning 

Erysipelas 

Exhaustion from acute mania, 

Exophthalmic goiter, 

Fracture of hip, 

Gangrene of foot, 

Intestinal tuberculosis, 

Lead poisoning, 

Senility, 

Septicaemia, 

Diseases of the nervous system : — 

General paralysis of the insane, 

Diseases of the circulatory system : — 

Cerebral embolism, 

Cerebral hemorrhage, 

Endocarditis 

Myocarditis, 

Bronchopneumonia, 

Pleurisy, . 

Diseases of the digestive system : — 

Acute enteritis, 

Gastric ulcer, 

Suicide by hanging 

Suicide by drowning, 




I 

f 





1908. 



PUBLIC DOCUMENT — No. 21. 



51 



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52 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



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Public Document No. 21 



FIFTY-FOURTH ANNUAL REPORT 



THE TRUSTEES 



NORTHAMPTON STATE HOSPITAL, 



Year ending November 30, 1909. 




BOSTON: 

WEIGHT & POTTEE PEINTING CO., STATE PEINTEBS, 

18 Post Office Square. 

1910. 






Public Document No. 21 



FIFTY-FOURTH ANNUAL REPORT 



THE TRUSTEES 



AA/< 



.NORTHAMPTON STATE HOSPITAL, 



Yeae exdixg November 30, 1909. 




BOSTON: 

WEIGHT & POTTEE PEINTING CO., STATE PEIXTEES, 

18 Post Office Square. 

1910. 









STATE HOUSE, BOSTSM 
MASS. OFFICIALS 



Approved by 
The State Board cf Publication. 



2 



CONTEXTS 



List of Officers, ......... 5 

Report of Trustees, ........ 7 

Report of Superintendent, ....... 9 

Report of Treasurer, ........ 32 

Statistics, .......... 37 



OFFICERS 



NORTHAMPTON STATE HOSPITAL. 



TRUSTEES 
ALVAN BARRUS, Chairman, . 
SARAH A. WOODWORTH, 
CAROLINE A. YALE, 
F. W. CHAPIN, M.D., 
JOHN McQUAID, 
HENRY L. WILLIAMS, Secretary, 
CHARLES S. SHATTUCK, 



Goshen. 

Chicopee. 

Northampton. 

Springfield. 

Pittsfield. 

Northampton. 

Hatfield. 



RESIDENT OFFICERS. 
JOHN A. HOUSTON, M.D., 
CHARLES H. DEAN, M.D., 
HARRIET M. WILEY, M.D., . 
EDWARD W. WHITNEY, M.D., 
C. STANLEY RAYMOND, M.D., 
MABEL C. CRUTTENDEN, M.D., 

LEWIS F. BABBITT, 
WAVERLEY D. PACKARD, 
SUSAN E. WARREN, 
JOSEPH G. COOK, . 



Superintendent. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 

Clerk. 
Engineer. 
Matron. 
Farmer. 



LEWIS F. BABBITT, 



TREASURER. 



Office at the Hospital. 



Northampton. 



Stye CommomDealtt) of ittaeBcufyiisetts, 



TRUSTEES' REPORT. 



To His Excellency the Governor of the Commonwealth and the Hon- 
orable Council. 

The trustees of the Northampton State Hospital respectfully 
submit their fifty-fourth annual report. 

The fiscal year ending Nov. 30, 1909, has been uneventful in 
the history of the hospital except for the increase in the number 
of patients cared for, which brings with it the perplexing con : 
sideration of the best way in which to meet the further increase 
that is inevitable in the next few years. It seems probable that 
our hospital must continue, for many years at least, to care for 
the insane of the four western counties. No definite plans have 
been proposed but several have been discussed. For the pres- 
ent we must try to keep our numbers as low as possible, and to 
care for, as well as we may, all who are sent here. Reference is 
made to the superintendent's report for particulars concerning 
the patients, the present state of the hospital and its future 
needs. 

We are pleased to record that we have been able to live within 
the amount appropriated for maintenance, notwithstanding the 
high cost of living, an upward tendency in the scale of wages 
of employees and a number of patients supported larger than 
was expected. 

The Legislature appropriated $175,000 for the maintenance 
of an estimated daily average number of 840 patients. The 
daily average number actually cared for was 858, at a weekly 
expenditure of $3.87 per patient. The hospital received from 
board of private patients, from reimbursements for board of 



8 NORTHAMPTON STATE HOSPITAL. [Dec. 

patients who could not pay the full cost of support and from 
sales from the farm and sales of miscellaneous articles the sum 
of $46,868.02, and it furnished toward the support of patients 
products to the market value of $44,924.51. 

The treasurer's report gives an itemized account of the finan- 
cial transactions for the year. 

We are advised by the State Board of Insanity to make esti- 
mates for the maintenance of a daily average number of 872 
patients for the coming year, and accordingly ask for the sum 
of $198,500, basing our estimates on our experience of the past 
three or four years. 

Mr. Maclnnes resigned early in the year. He had been a 
member of the Board for sixteen years, during which period he 
had a deep interest in the welfare of the hospital. He was fre- 
quently consulted by friends of patients from Berkshire County, 
to whom he invariably gave a sympathetic attention much ap- 
preciated by them. He was succeeded by Mr. John McQuaid, 
who entered upon his service in August. 

In August Dr. Grace E. B. Rice resigned and Dr. Mabel C. 
Cruttenden was appointed in her place. There have been no 
other changes on our staff of officers. 

ALVAN BARRUS. 
SARAH A. WOODWORTH. 
CAROLINE A. YALE. 
E. W. CHAPIN, M.D. 
JOHN McQUAID. 
HENRY L. WILLIAMS. 
CHARLES S. SHATTUCK. 



1909.1 PUBLIC DOCUMENT — No. 21. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I herewith respectfully present my report of the operations of 
the hospital for the year ending Xov. 30, 1909. 

The statistics concerning patients in the tables annexed to 
this report are for the year Oct. 1, 1908, to Sept. 30, 1909. At 
the beginning of this year there were 829 patients, either at the 
hospital or boarded out in private families, but under our super- 
vision, and 24 were out on trial visit. Within the year 295 
were admitted. Two hundred and twenty were dismissed and 
49 were out on trial visit, thus leaving 888 in our care at the 
end of the year. The whole number under our supervision was 
1,124. The largest number on any one day was 899 and the 
daily average number was 848. The daily average number 
supported during the fiscal year, December 1 to November 30, 
was 858. This is the largest daily average number in the his- 
tory of the hospital, being 54 larger than the daily average num- 
ber of a year ago, though fewer patients were admitted this year 
than last, and is to be accounted for principally by the admis- 
sion of a large number of patients whose condition was unfa- 
vorable for recovery or improvement. Many of these cannot 
be discharged because they would be a source of annoyance and 
danger to the public, and many others, though quiet and not 
troublesome, must remain here because they cannot care for 
themselves and have no relatives or friends to care for them. 

Of the patients admitted 230 were committed by the courts, 
5 were transferred by the State Board of Insanity from other 
institutions or from places where they were boarded out, 3 were 
returned from trial visit of the previous year, 3 were returned 
from elopement and 4 came by voluntary commitment. Forty 
of the patients had been in this hospital before and 9 had been 
previously in other hospitals. 



10 NORTHAMPTON STATE HOSPITAL. [Dec. 

Concerning the patients who were admitted for the first time 
to any hospital: 39 per cent, were foreign born and 63 per cent, 
were of foreign parentage ; only 37 per cent, were born in Mas- 
sachusetts. Their average age was forty-four years for the 
men and forty-two and six-tenths years for the women. Of the 
first admissions 46 were over sixty years of age, but of all ad- 
missions 51 were over sixty years old, 12 over seventy and 7 
over eighty. The average duration of insanity prior to admis- 
sion in cases first admitted, so far as could be learned, was two 
and one-half years. In only 73 cases had the insanity existed 
less than three months and in but 20 cases from three to six 
months. These facts indicate an unfavorable prospect of re- 
covery in the majority of cases admitted. Few cases recover 
who have been insane six months or more at the time of admis- 
sion to the hospital. Our records for many years show that the 
average duration of the insanity prior to admission to the hos- 
pital, in cases that recovered, is about three months. 

The facts in relation to the causation of the insanity in the 
cases admitted are much the same as tabulated in nearly all of 
our later reports. Hereditary tendencies were assigned causes 
in 61 cases, and undoubtedly would be found a factor in a larger 
number of cases could they all be thoroughly studied. The in- 
temperate use of alcohol and other drugs was the principal cause 
in at least 46 cases, and no doubt was an indirect cause in many 
more cases, especially in some of the hereditary cases and those 
classed as congenital, and probably in some others. Old age, 
with its involutional changes, that may be considered physiologi- 
cal but are so prone to become pathological, was the assigned 
cause or prominent factor in 33 cases. There were 37 congeni- 
tal cases. Twelve were due to epilepsy and 20 to cerebral hem- 
orrhage, arteriosclerosis, syphilis and involutional degeneration. 

Recoveries can be hoped for from certain forms of insanity 
only, and not all cases of the forms of insanity considered fa- 
vorable can recover, some coming to the hospital after the insan- 
ity has existed too long a time and some having physical ills 
which preclude hope of recovery. About 75 per cent, of the 
admissions were of an unfavorable type. 

Eight cases of voluntary commitment were under treatment 
during the year. Three of these have been patients here pre- 



1909.] PUBLIC DOCUMENT — No. 21. 11 

viously. Patients who come here voluntarily appreciate the 
privilege and are grateful for their care and treatment. It is 
probable that more patients, including some who are now com- 
mitted, would come voluntarily if it were more widely known 
that they would be accepted, and if the advantages of such form 
of commitment were better understood. 

Two hundred and twenty patients were dismissed, as follows : 
36 recovered; 28 capable of self-support; 34 improved; 14 un- 
improved ; 2 voluntary cases ; 73 died ; 27 were transferred by 
the State Board of Insanity to other hospitals or to be boarded 
out in private families ; 6 escaped ; 40 were out on trial visit at 
the end of the year. 

Thirty-eight of the patients who died were over sixty years 
of age, 18 between seventy and eighty and 7 over eighty. The 
average length of hospital residence of the patients who died 
was twenty-one months. Twenty-six of them had been here 
longer than one year. Twenty-three died of old age and its in- 
firmities, 10 of general paralysis of the insane, 9 of cerebral 
hemorrhage, 7 of myocarditis, 4 of endocarditis and 4 of tuber- 
culosis of some form, 2 of these latter of pulmonary tuberculosis 
and 1 each of intestinal tuberculosis and tubercular meningitis. 

As usual, our remedial measures have been chiefly the re- 
moval of the exciting cause of the insanity as far as possible, the 
ordering of a quiet and hygienic daily life and the discipline of 
regular employment and exercise, supplemented by diversion 
and amusement. Few drugs have been used and no hypnot- 
ics or restraining apparatus whatever. Hydrotherapy has been 
used extensively, as for the past twelve years. 

The training school for nurses has been under the general 
management of Miss Alice E. Bedell. The lectures and class 
work were conducted by members of the medical staff. The 
coming year the lectures will be given by the staff as usual, but 
the class work will be carried on by Miss Niola M. Watson, a 
graduate in last year's class. Four nurses were graduated: 
Misses Lulu Norton Drew, Lillian Marjorie Purdy, Annie Mae 
Smith and Blanche Marion Smith. The class was small, prin- 
cipally because of the difficulty of securing enough young women 
to accept service and take the training. For years our nursing 
force has been inadequate in number. The ratio of nurses to 



12 NORTHAMPTON STATE HOSPITAL. [Dec. 

patients was 1 to 12 this past year, while a proportion of 1 to S 
is desirable if not necessary. There are now so many hospitals 
with training schools requiring a large number of pupils that not 
many who apply have proper or desirable qualifications for the 
work; and to some who come here and would be desirable the 
work is so unattractive that they cannot be induced to stay. 
Quite a number of applications from married couples have been 
received lately and we have as many in our service as we can 
accommodate. Perhaps it will help solve what is becoming a 
troublesome problem to superintendents, — the maintaining of 
a desirable ratio of nurses to patients. — if suitable inducements 
can be made to secure married couples and to keep them in ser- 
vice longer than the present average length of service of nurses 
and attendants. That we may make a trial of this I recom- 
mend that the house so long occupied by Mr. Mercier, our head 
farmer, which is now vacant, be remodeled to accommodate four 
or five couples of married people. 

In May Miss Lucy A. Gilbert resigned, after a service of 
nearly forty-two years. During the greater part of this time 
she was at the head of the nursing force, where she rendered 
efficient service, well liked by officers, associates, patients and 
their friends. It was much to our regret that failing health 
precluded her longer stay in our service. In her going the hos- 
pital lost a faithful employee. 

Miss Hedges remains in charge of the course of special cook- 
ing for the graduating class. Miss Worcester continued her 
course in gymnastics, athletics and special amusement work till 
early summer. 

No new work of an extensive nature has been undertaken, 
but many repairs and improvements have been made. The old 
horse stalls in the south end of the cow shed were removed and 
in their places a very convenient and commodious stable was 
built, 44 feet wide by 61 feet long, with floor of cement, having 
sixteen single stalls, one box stall and two harness rooms. This 
is large enough to accommodate all the farm horses. 

The end of the barn which formed one of the sides of the silos 
gave way under the great pressure to which it was subjected and 
had to be rebuilt. 

An electric elevator was erected at the ice house, capable of 



1909.1 PUBLIC DOCUMENT — No. 21. 13 

lifting ice into the house as rapidly as it can be brought to it. 
This is operated by the motor which is used to run the ensilage 
cutter. 

A freight elevator, operated by a seven horse-power motor of 
a capacity of one ton and provided with complete safety attach- 
ments, was placed in the cold-storage building. 

All the slop bowls and water-closets were replaced by new 
fixtures, and the piping to the baths was renewed in the toilet 
rooms of the third halls south. A toilet room was constructed in 
the house occupied by our florist, equipped with lavatory, closet 
and bath. 

A thousand feet of 4-inch pipe, leading from the pump house 
to the engine room, was laid, taking the place of the pipe of 
sheet iron and cement which had been in use forty years or 
more. 

The radiators in the heating stacks in the basements of all 
wards but the infirmaries were taken down and reset with wider 
spaces between them, to allow the passage of more air than be- 
fore, thus improving the ventilation in the winter months. 

New sidewalks of cement were laid in the rear around the 
paint shop and cold-storage buildings to the stable and barn and 
from the men's dormitory to the basement of the storehouse, 533 
square yards in all. 

Considerable grading and filling was done around the men's 
infirmary and on the Braman lot. 

On all these pieces of work many of the patients were en- 
gaged. As usual, they were also engaged on the farm, at the 
barns, in the shops and in the kitchen, bakery, laundry and sew- 
ing rooms, besides helping in the every day housework on the 
wards. Many of the women helped in picking peas, strawber- 
ries and currants, and a few of them had plots of ground in 
which they raised flowers and vegetables. 

There has been a favorable yield of farm. products, averaging- 
larger than last year, though some of the crops were smaller than 
usual. Their market value was $44,924.51, which is about 
$2,300 larger than the value of last year's harvest. 

There have been 152 assemblies for patients during the year 
for divine worship, entertainment and amusement. The re- 
ligious services held on each Lord's day were conducted in rota- 



14 NORTHAMPTON STATE HOSPITAL. [Dec. 

tion by the clergymen of neighboring churches. There were 
readings on forty-seven evenings, stereopticon lectures on six 
evenings, piano concerts on three evenings, card parties on three 
evenings and dances on twenty-six evenings. In addition to the 
above there were the following entertainments: December 21, 
legerdemain and music, Mr. Harrell; December 25, Christmas 
tree ; January 5, reading, " Old Homestead," Mr. Kiernan ; Jan- 
uary 19, songs and readings, Madam Richings; February 8, 
reading, " Oliver Twist," Mr. Truman ; February 20, music 
and readings, Mr. McGee and Mr. Newmarker; February 21, 
phonograph concert, Mr. A. McCallum; February 27, songs and 
readings, Mr. Eccles ; March 2, play, " A Case of Suspension,'' 
class of 1909, Smith Academy, Hatfield ; March 22, music, Mr. 
and Mrs. Wheeler and Miss Lord ; April 5, music, Mr. Bradley 
and Mr. Bill; April 13, piano and violin, Mr. and Mrs. An- 
geloty; September 21, music and readings, Mr. Brigham; Sep- 
tember 29, songs and readings, Madam Richings; November 8, 
Mendelssohn String Quartette of Springfield; November 11, 
Fiske Jubilee Singers. In all of these music formed a part of 
the exercises. On July 4 there was a band concert on the front 
lawn. On every Saturday during the warm months a game of 
baseball was played on the grounds in front, in view from many 
of the wards. Interest in the pavilion given by Mrs. James has 
not waned. The full number that it will accommodate avail 
themselves of its privileges. 

We have received many gifts from friends of the hospital and 
of the patients, such as books, periodicals, money and gifts for 
the Christmas tree and the like. I thank the following persons, 
with the assurance that their interest is gratefully appreciated 
and that they have added greatly to the pleasure of the patients : 
for presents for the Christmas tree from Mrs. W. T. Parker of 
Springfield, Mrs. J. L. Egbert of Springfield, Miss Martha 
Fobes of Springfield, Mrs. R. C. Lucius of North Adams, Mrs. 
J. J. Sullivan of North Adams ; books for the library from Dr. 
Wood of Worcester ; 2 copies of the " Circle " from Miss Flor- 
ence Austin of Peterboro, N. H. ; calendars from Miss E. Hall 
of Greenfield ; crepe paper for Hallowe'en decorations from Miss 
Dickinson of Framingham ; an entertainment by the Fiske Jubi- 
lee Singers from Miss Eastman of South Hadley; magazines 



1909.] PUBLIC DOCUMENT — Xo. 21. 15 

and papers from Mr. Ohstrom, Mr. Louis Graves, Mrs. M. W. 
Graves, Mrs. E. S. Ross, Mrs. Ganong and Messrs. Bridgman 
and Lyman ; " Christian Register " and " Dumb Animals " have 
been regularly received. 

The successful management of a public institution of this 
kind depends largely on the co-operation of officers and employ- 
ees. It is a pleasure to place on record the loyal support and 
unselfish interest of my associates, and generally satisfactory 
service of the employees. 

JOHN A. HOUSTON. 

Superintendent. 



16 NORTHAMPTON STATE HOSPITAL. [Dec. 



DIETARY OF THE NORTHAMPTON STATE 
HOSPITAE. 



[There are two bills of fare, the first of which is supplied to the tables of about 
three hundred persons, and the second to those of somewhat over three hundred. 
In addition to these, about 190 quarts of egg and milk are taken through the wards 
between meals and at bed time, and distributed to the old, the feeble and the con- 
valescent cl 



BILL OF FARE No. 1. 

Breakfast. 

Monday. — Tea. oatmeal, coffee, broiled beefsteak or eggs, potatoes, 

^varm rolls ("biscuit''), bread and butter. 
Tuesday. — Tea. coffee, oatmeal, fried tripe. 1 potatoes, warm rolls, 

bread arid butter. 
Wednesday. — Tes . broiled ~:eak or eggs, pot:-' 

and ■warm brow:. d Indian) bread. 

Thursday. — Tea. coffee, oarmeal. broiled beefsteak, potatoes, warm 

rolls, bread and butter. 
Friday. — Tea, coffee, oatmeal, fried tripe. 1 potatoes, warm rolls, bread 

and butter. 
Saturday. — Tea. coffee, oatmeal, either fried fish-balls or liver, meat 

hash, hot corn cake, bread and butter. 
§ 'day. — Tea. coffee, oatmeal, ggs, warm rolls., bread and 

butter and fried Indian corn pudding. 

Ddstheb. 
Monday. — Roast beef, potatoes and one other vegetable. 1 bread and 

butter, boiled rice with syrup or sugar. 

sday. — Vegetable soup, roast or stewed veal.* potatoes and one 

other vegetable/ bread and butter, and baked Indian pudding. 
Wednesday. — Either roasted or boiled mutton, potatoes and one other 

vegetable. 2 bread and butter, and berry or apple pudding, with 

sauce. 4 

: Tripe is replaced in . i in spring by fried ham and eggs, except in the 

season of shad, when ti. n once each week instead of ham and eggs, and once instead 

of beefsteak. 

. _e summer, 
r by fresh pork ribs, roasted. 
* In spring, ma; e for pud< 



1910.] PUBLIC DOCUMENT — No. 21. 17 

Thursday. — Vegetable soup, corned beef, potatoes and one other 
vegetable, 1 bread and butter, and boiled suet pudding, with syrup. 

Friday. — Either fried or baked fresh fish, 2 or stewed or roasted veal, 
potatoes and one other vegetable, 1 bread and butter, and tapioca 
pudding or raisin pudding of either rice, bread or cracker. 

Saturday. — Baked beans, corned beef, potatoes and one other vege- 
table, 1 pickles, bread and butter, and baked bread pudding. 

Sunday. — Stewed mutton, sweet potatoes, warmed baked beans, 
pickles, bread and butter and pies, the kind varying with the 
season. 

Supper. 

Monday. — Tea and bread, warm corn cake and butter, hard ginger- 
bread and a relish. 3 

Tuesday. — Tea, white bread, graham bread and butter, soft ginger- 
bread and a relish in the warm season, substituted by buckwheat 
cakes in the cold season. 

Wednesday. — Tea, bread and butter, pie (the kind varying with the 
season), and ginger snaps and a relish. 

Thursday. — Tea, bread and butter, cookies and cheese. 

Friday. — Tea, bread and butter, cake (the kind varying) and a relish. 

Saturday. — Tea, bread and butter, doughnuts and cheese. 

Sunday. — Tea, bread and butter, cookies and ginger snaps and blanc- 
mange or corn starch. 

Extra. — In the winter and spring months hulled corn at supper, once 
in two weeks, on Saturdays. 

BILL OF FARE No. 2. 

Breakfast. 
Monday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 
Tuesday. — Coffee, oatmeal, cold roast beef, potatoes, and bread and 

butter. 
Wednesday. — Coffee, oatmeal, meat stew or boiled eggs, potatoes, and 

warm rye and Indian corn brown bread and butter. 
Thursday. — Coffee, oatmeal, picked codfish cooked in milk, potatoes, 

and bread and butter. 
Friday. — Coffee, oatmeal, cold corned beef or meat stew, potatoes, and 

bread and butter. 
Saturday. — Coffee, oatmeal, hash, either of meat or fish, and bread and 

butter. 
Sunday. — Coffee, oatmeal, boiled eggs, potatoes, and bread and butter. 

1 At least three vegetables during the summer. 

2 Substituted by stewed oysters in winter and spring, with some kind of roasted meat for those 
who prefer it. 

3 This term, used for the want of a better, includes dried beef, berries, baked apples, apple 
sauce and canned fruits, all of which are supplied, and each according to the season. 



18 NORTHAMPTON STATE HOSPITAL. [Dec. 



Dinner. 

Monday. — Roast beef, potatoes and one other vegetable, 1 boiled hominy 
with molasses, and bread. 

Tuesday. — Vegetable soup, potatoes and one other vegetable, 1 baked 
Indian pudding 2 and bread. 

Wednesday. — Boiled codfish with drawn-butter sauce, potatoes and one 
other vegetable, 1 boiled hasty pudding with molasses, and bread. 

Thursday. — Vegetable soup, potatoes, cabbage or some other vege- 
table, 1 boiled rice with molasses, 3 and bread. 

Friday. — Boiled fresh fish with drawn-butter sauce, potatoes, beets or 
some other vegetable, 1 boiled hasty pudding with molasses, and 
bread. 

Saturday. — Hot baked beans, potatoes, baked Indian or bread pud- 
ding, pickles and bread. 

Sunday. — Cold corned beef, potatoes, pies (the kind varying with the 
season) and bread. 

Supper. 
Monday. — Tea, bread and butter, and hard gingerbread. 
Tuesday. — Tea. bread and butter, and soft gingerbread. 
Wednesday. — Tea, bread and butter, cake or ginger snaps, and some 

kind of relish. 
Thursday. — Tea, bread and butter, and cookies. 
Friday. — Tea. bread and butter, and soft gingerbread. 
Saturday. — Tea, bread and butter, cake or ginger snaps, sauce. 
Sunday. — Tea. bread and butter, and cookies. 

Extras. 

In the winter and spring months, hulled corn at supper on Saturdays. 

In August and September these tables are furnished at supper with 
either berries, tomatoes or baked apples, as many as five times a week. 

In eight halls, sauce of either fresh or dried apples is furnished four 
times a week for the rest of the year. 

Extras for the Whole Household. 

All persons have roasted turkey at dinner on Thanksgiving Day and 
on Christmas, with vegetables, celery, cranberry sauce, pudding, pie 
and cider. 

From four to five bushels of green sweet corn in the ear is consumed 
in its season, daily, with the exception of Sunday. 

1 At least three vegetables in the summer. 

2 All baked puddings for the whole household are made with milk. 

3 Maple syrup is furnished, in place of molasses, three or four times in the spring. 



1909.] PUBLIC DOCUMENT — Xo. 21. 19 

Strawberries, tomatoes, cucumbers and melons are furnished in liberal 
quantities in their season. 

In the spring, cowslips and dandelions are largely used as greens, 
and horse-radish as a condiment. 

During eight months of the year, apples are distributed, daily, 
among the patients. 

Beef tea, chicken broth, mutton broth, scalded milk, arrow-root 
gruel, oatmeal gruel, milk punch, cracked wheat, oatmeal porridge, dry 
toast, milk toast, toast with dropped egg. and boiled eggs, for invalids 
and all who are not able to take the regular fare. 



20 



NORTHAMPTON STATE HOSPITAL, 



[Dec. 



ARTICLES MADE IN SEWING ROOM. 



Aprons, . 


481 


Lard strainers, 


2 


Bandages, 


2 


Mattress ticks, 


15S 


Bath robes, 


8 


Milk cloths, 


144 


Blankets bound, . . 2 


Napkins, 


354 


Bureau covers, 


239 


Night caps, 


12 


Caps, 


289 


Night gowns, long, . 


55 


Carpets, . 


1 


Night gowns, short. . 


530 


Chemises, 


95 


Obstetric pads, 


2 


Clothes bags, 


86 


Petticoats, 


201 


Covers for laundry[extractor, 6 


Pillow cases, 




1.259 


Corset covers, 


10 


Pillow ticks, 




12 


Curtains, sash, 


51 


Rugs, 




68 


Curtains, screen, . . 36 


Sheets, . 




1,623 


Curtains, shades, . . 366 


Shirts, 




883 


Curtains, lace, 


8 


Shirt waists, 




22 


Drawers, 


15 


Stand covers, 




305 


Dresses, . 


231 


Table cloths, 




171 


Dress skirts, 


4 


Towels, . 




3.060 


Dust cloths, 


10 


Towels, roller, 




154 


Flags, . 


5 


Tray cloths, 




175 


Holders, . 


87 


Articles repaired, 


46,310 


Kimonos, 


2 







UPHOLSTERY DONE IN THE YEAR 



Hair mattresses made, new material, 
Hair mattresses made, old material, . 
Hair mattresses made, old hair, new ticks, 
Hair pillows made, new material, 
Hair pillows made, old material, 



74 

204 

S4 

43 

173 



1909.] 



PUBLIC DOCUMENT — No. 21. 



21 



AMOUNT OF PRESERVING DONE IN KITCHEN 
DEPARTMENT. 



Blackberry jr,m, quarts, 
Blackberries, spiced, quarts, 
Blueberries, quarts, . 
Cherries, quarts, 
Citron, quarts, 
Gooseberries, quarts, 
Grapes, . 

Grape marmalade, quart: 
Peaches, quarts, 
Peach butter, jars, . 
Plums, quarts, 
Quince, quarts, 
Raspberries, quarts, 
Rhubarb, quarts, 
Strawberries, quarts, 
Tomatoes, quarts, 



40 

6 

123 

68 

68 

20 

12 

45 

98 

12 

52 

17 

10 

106 

108 

172 



Apple jelly, glasses, . 
Currant jelly, glasses, 
Gooseberry jelly, glasses, 
Grape jelly, glasses, . 
Mint jelly, glasses, . 
Quince jelly, glasses, 
Grape juice, quarts, . 
Catsup, tomato, quarts, 
Chow-chow, quarts, . 
Cucumbers, barrels, . 
Cucumbers, spiced, quarts, 
Cucumbers, salted, barrels, 
Pears, gallons, 
Tomatoes, sweet, gallons, . 
Mustard, gallons, 
Sauerkraut, barrels, . 



98 

100 

4 

38 

36 

30 

104 

84 

110 

4 

52 

8 

3 

6 



22 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



OFFICERS AND EMPLOYEES, 

[Time employed, Nov. 30, 1909.] 



- 



Years. Months. 



Days. 



John A. Houston. M.D.. superintendent. 


20 


2 


i 


Harriet M. Wiley. M.D.. assistant physician. 


9 


9 


29 


Charles H. Dean. M.D.. assistant physician. 


9 


6 


21 


Edward W. Whitney. M.D.. assistant physiciai 


l. 4 


2 


11 


C. Stanley Raymond. M.D.. assistant physician 


3 


5 


11 


Mabel C. Cruttenden. M.D.. assistant physician 


- 


1 


19 


Lewis F. Babbitt, treasurer. . 


IS 


1 


IS 


Burton G. Fiske. supervisor. . 


6 


1 


15 


Alice E. Bedell, superintendent of nurses. 


— 


3 


20 


Susan E. Warren, matron. 


15 


- 


- 


Martha G. Jones, secretary to superintendent. 


16 


4 


11 


Joseph G. Cook, farmer. 


3 


4 


5 


George N. Drury. steward. 


12 


2 


- 


William J. Moore, assistant steward. 


13 


1 


3 


Rachel C. Packard, stenographer. . 


- 


i 


- 


Susan E. Norton, clothes marker. . 


1 


t 


29 


Ord Thomas, assistant steward. 


- 


2 


9 


Jay E. Cook, baker. .... 


10 


9 


- 


Leon E. Bruce, assistant baker. 


4 


5 


4 


George W. Thorniley. florist. . 


16 


< 


11 


Wa verier D. Packard, engineer. 


o 


5 


13 


Thomas Butterworth. assistant engineer. 


2 


- 


17 


William C. Day. assistant engineer. 


18 


i 


2 


Gottlieb Beer, fireman. .... 


2 


- 


12 


Earl Kron. fireman. .... 


2 


5 


8 


Francis Pond, fireman. .... 


1 


4 


5 


Isaac Fisk. fireman, . ... 


- 


B 


24 


Helfrid N. Fiske. seamstress. . 


3 


10 


19 


Lillian Dean, assistant seamstress. . 


1 


i 


1 


Emma A. Vining. assistant seamstress. 


- 


- 


i 


Charles E. Williams, laundryman. . 


12 


2 


29 


Margaret Sweeney, laundress. 


4 


9 


27 


Ellen Moore, laundress. .... 


3 


•5 


2 


Martha C. Greene, laundress. 


1 


10 


2 


Katherine McGrath. laundress, 


1 


5 


17 


Alma Bugbee. usher. .... 


1 




_ 


Jennie Ryan, usher. . 


1 


i 


5 


Harriet Briggs, housemaid. 


8 


3 


22 


Katherine C. Hall, housemaid. 


2 


5 


28 


Mabel Tacy. housemaid. . . . . 


- 


- 


16 


Kate Flaherty, housemaid. . 


- 


- 


27 


Mary E. Shea, center dining room. 


2 


6 


3 


Mary E. Moriarty. center dining room. 


— 


i 


9 



1909. 



PUBLIC DOCUMENT — Xo. 21. 



23 



Nellie McGrath, kitchenmaid, 

Helen Flaherty, kitchenmaid, 

Lizzie Hart, kitchenmaid. 

Mary Montgomery, kitchenmaid, 

James Ruddy, kitchen, . 

Mary Minihan, cook, 

Josie Hurd, cook, . 

Harry W. Love, watchman, 

Fred D. Aldrich, nurse, 

Alexander Beaton, nurse. 

George Begor, nurse, 

John L. Benson, nurse, . 

John J. Bradley, nurse, 

Dean Combs, nurse, 

Robert Courtney, nurse, 

Merrill Currier, nurse, . 

Charles Danforth, nurse, 
David Delong, nurse, 
William H. Doyle, nurse, 
Peter Dufresne, nurse, . 
Joseph J. Dunn, nurse, . 
Joseph O. Freeman, nurse, 
.Hick Grant, nurse, 
Noah Haskell, nurse, 
Arthur Joslyn, nurse, 
Chester Kenny, nurse, . 
Josiah Littlefield, nurse, 
Samuel Lynas, nurse, 
Patrick McEvoy, nurse, . 
Michael McCaffrey, nurse, 
William Manship, nurse, 
Herbert McNierney, nurse, 
James Moore, nurse, 
Alfred Owen, nurse, 
Charles Pease, nurse, 
Charles Percy, nurse, 
James Poulton, nurse, . 
Charles Rathburn, nurse, 
Harold P. Shorey, nurse, 
John Waltz, nurse, 
Harry Weymouth, nurse, 
Samuel B. Roberts, nurse, 
Gustave H. Thiem, nurse, 
Ethel Adams, nurse, 
Helen J. Barrett, nurse, 
Goldie Bickford, nurse, . 
Alice C. Brennan, nurse, 
F. J. Burke, nurse, 
Gertrude Chaffee, nurse, 
Isabella D. Clark, nurse, 
Louise Coulter, nurse, . 
Mabel Dean, nurse, 



Years. 


Months. 


Days. 


2 


7 




1 


1 


2 


- 


2 


28 


- 


2 


25 


2 


1 


26 


- 


2 


29 


- 


5 


10 


5 


11 


22 


9 


11 


18 


4 


4 


14 


2 


7 


2 


1 


1 


19 


1 


6 


18 


- 


6 


29 


1 


7 


27 


- 


2 


4 


- 


- 


6 


1 


- 


21 


- 


- 


8 


- 


2 


3 


- 


2 


1 


- 


2 


2 


- 


- 


16 


2 


6 


- 


3 


1 


27 


1 


3 


12 


1 


1 


26 


- 


1 


19 


- 


6 


18 


- 


1 


13 


- 


3 


2 


- 


2 


2 


2 


1 


27 


_ 


9 


12 


3 


6 


6 


1 


11 


15 


1 


- 


2 


4 


11 


12 


- 


7 


2 


- 


6 


28 


- 


2 


3 




- 


14 




1 


- 


- 


2 


21 


- 


9 


7 


1 


2 


- 


- 


6 


1 


- 


- 


15 


- 


- 


29 


- 


1 


7 


2 


3 


12 


2 


6 


7 



24 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Names. 


Years. 


Months. 


Days. 


Lulu Drew, nurse, 


2 


2 


12 


Agnes Farrington, nurse, 






- 


3 


- 


Isabell Ferguson, nurse, 






1 


3 


27 


Edith L. Jenkins, nurse, 






- 


1 


14 


Margaret Kelly, nurse, . 






1 


7 


- 


Ida M. Lafley, nurse, 






- 


3 


8 


Lillian Love, nurse, 






4 


9 


5 


Effie Mahy, nurse, 






5 


4 


24 


Evelyn Manning, nurse, 






1 


4 


- 


Alice McNierney, nurse, 






- 


5 


15 


Clara Mulfinger, nurse, . 






- 


11 


9 


Lillian M. Purdy, nurse, 






2 


7 


23 


Olive M. Ready, nurse, . 






- 


8 


19 


Mary Ryan, nurse, 






- 


6 


22 


Lillie W. Scholz, nurse, 






- 


1 


6 


Edna E. Shorey, nurse, 






- 


7 


2 


Annie Smith, nurse, 






2 


11 


- 


Blanche Smith, nurse, . 






2 


2 


- 


Emily Stewart, nurse, . 






5 


- 


2 


Margaret Tobin, nurse, 






- 


9 


21 


Eulalie M. Turner, nurse, 






- 


3 


22 


Niola Watson, nurse, 






1 


9 


19 


Florence Weymouth, nurse, . 






- 


2 


3 


Phoebe Wheeler, nurse, . 






3 


5 


19 


Ruth Wilson, nurse, 






- 


2 


22 


Lucy Pedden, nurse, 






- 


- 


19 


A. C. Burnett, painter, . 






3 


6 


28 


Thomas P. Clair, plumber, 






11 


7 


- 


Albert De Grandpre, carpenter, 






4 


10 


- 


Henry Maynard, carpenter, . 






1 


5 


22 


Martin L. Sornborger, plumber, 






6 


- 


6 


Roscoe Tobin, plumber, 






7 


- 


28 


Walter M. Tower, carpenter, . 






30 


10 


- 


Cornelius Barry, farmer, 






2 


8 


- 


Orrin Blodgett, farmer, 






3 


4 


8 


C. H. Buckwold, farmer, 






1 


1 


11 


James Denny, farmer, . 






1 


1 


24 


Walter Denny, farmer, . 






- 


7 


26 


Xavier Dion, farmer, 






16 


5 


16 


Michael Drozdial, farmer, 






- 


7 


10 


Thomas Drozdial, farmer, 






5 


- 


- 


Thomas Fagan, farmer, 






1 


8 


- 


Frank Hurd, farmer, 






- 


5 


10 


Tofiel Lucier, farmer, 






- 


4 


23 


B. McNamara, farmer, 






11 


7 


8 


David Mercier, coachman, 






32 


9 


13 


H. Ohrstrom, gardener, . 






3 


5 


25 


Frank Sanborn, farmer, 






2 


6 


22 


Walter Streeter, herdsman, 






6 


3 


1 


Jeremiah Sullivan, farmer, 






- 


5 


16 


Alex G. Wylie, gardener, 






4 


11 


27 


Joseph Young, farmer, . 






1 


5 


28 



1909." 



PUBLIC DOCUMENT — No. 21, 



25 



LIST OF PERSONS REGULARLY EMPLOYED 

AT THE NORTHAMPTON STATE 

HOSPITAL. 



Superintendent and physician (per year), 

Assistant physician (per year), 

Assistant physician (per year), 

Assistant physician (per year), 

Assistant physician (per year), 

Assistant physician (per year), 

Treasurer and clerk (per year), 

Engineer, with house rent (per year) 

Farmer, with house rent (per year), 

Florist, without board (per year), 

Matron (per month), 

Supervisor (per month), . 

Superintendent of nurses (per month), 

Assistant superintendent of nurses (per month), 

Assistant to superintendent of nurses (per month) 

Secretary to superintendent (per month), 

Stenographer (per month), 

Seamstress (per month) , . 

Assistant seamstresses (2) (per month), 

Assistant seamstress (per month), 

Laundryman (per month), 

Laundresses (3) (per month), . 

Baker (per month), 

Assistant baker (per month), . 

Steward, with partial board (per month), 

Assistant steward (per month), 

Assistant steward (per month), 

Nurses (men, 45) (per month), 

Nurses (women, 50) (per month), 

Ushers (2) (per month), 





83,000 00 




1,300 00 




1,100 00 




1,000 00 




900 00 




500 00 




1,800 00 




1,100 00 




1,000 00 




700 00 




40 00 




55 00 




50 00 




45 00 




40 00 




40 00 




25 00 




25 00 




20 00 




16 00 




50 00 


$11 


I 00 to 22 00 




60 00 




40 00 




60 00 




45 00 




50 00 


S25 00 to 35 00 


21 00 to 30 00 


r 


I 00 to 18 00 



26 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Housemaids (4) (per month), . 








. $17 00 to 18 00 


Waitresses (2) (per month), 








18 00 


Cooks (2) (per month), 








. $25 00 to 30 00 


Kitchen girls (5) (per month) , . 








. 16 00 to 18 00 


Clothes marker (per month), 








20 00 


Painter (per month), 








60 00 


Assistant engineers (2) (per month), 








$47 00 to 56 00 


Fireman (3) (per month), 








37 00 to 41 00 


Coachman (per month), . 








42 50 


Farm laborers (10) (per month), 








$25 00 to 40 00 


Farm laborers (5) (per day), 








1 75 


Herdsman (per month), . 








37 50 


Gardeners (2) (per month), 








$50 00 to 55 00 


Watchman (per month), . 








40 00 


Kitchen helper (per month), 








28 00 


Carpenter (per day), 








2 75 


Carpenter (per day) , 








2 75 


Carpenter (per day), 








2 00 


Plumber (per year), 








1,000 00 


Plumber (per month), 








45 00 


Plumber (per day) , . 








2 25 



1909. 



PUBLIC DOCUMENT — No. 21. 



27 



FARM PRODUCTS. 



Apples, 459 barrels, 

Asparagus, 12^ bushels, . 

Beans, lima, improved, 225 bushels, 

Beans, shell, 135 bushels, 

Beans, wax string, 60 bushels, . 

Beans, green string, 29 bushels, 

Beef, cow, 6,547 pounds, . 

Beef, steer, 10,062 pounds, 

Beets, greens, 26^ bushels, 

Beets, table, 460 bushels, 

Broom brush, 2,000 pounds, 

Broom brush, seed, 80 bushels, 

Brussels sprouts, 92 bushels, 

Cabbage, 60,900 pounds, 

Carrots, 86 bushels, 

Cauliflower, 493 bushels, 

Celery, 233 bunches, 

Cherries, 28 quarts, 

Chickens, broilers, 143 pounds, 

Chickens, roasters, 587 pounds, 

Cider, 752 gallons, . 

Citron, 2,500 pounds, 

Corn fodder, 130 tons, 

Corn, green, 757 bushels, . 

Corn, shelled, 918 bushels, 

Cucumbers, 170 bushels, . 

Cucumbers, pickles, 54 bushels, 

Currants, 292 quarts, 

Eggs, l,337 7 /i2 dozen, 

Ensilage, 500 tons, . 

Fowl, 158^ pounds, 

Gooseberries, 52 quarts, . 

Grapes, 515 pounds, 

Hay, first growth, 323 tons, 

Hay, second growth, 65 tons, 

Ice, 762 tons, . 

Lettuce, doghead, 177 bushels, 

Amount carried forward, 



$1,377 00 


53 13 


337 50 


168 75 


60 00 


20 30 


458 29 


804 96 


9 28 


230 00 


160 00 


40 00 


10 12 


609 00 


51 60 


49 30 


198 05 


35 00 


35 66 


129 14 


75 20 


75 00 


650 00 


567 75 


550 80 


340 00 


86 40 


32 12 


468 15 


2,500 00 


23 78 


5 72 


15 45 


5,814 00 


780 00 


2,286 00 


44 25 


$19,151 70 



NORTH AMPTO 


N S 


TATE HOSPITAL. 


[Dec. 


A mou nt brought forwa rd. 








810.151 70 




Lettuce. IO07 bushels. 








105 50 




Lumber. 54.000 feet. 








1.350 00 




Melons, musk. 188 crates. 








309 00 




Melons, water. 3.S56. 








57S 40 




Milk. 229,448 








11.472 40 




Onions. 41-4 bushels. 








351 90 




Parsley. 14 bushels. 








7 00 




Parsnips. 3S9 bushels. 








301 75 




Peaches. 4 baskets. 








4 00 




Pears. 25 bushels. . 








25 00 




Peas. 6S bushels. . 








68 00 




Peppers. 5 bushels. . 








3 75 




Pigs, roast. 2. 








6 00 




Plums. 26 bask* 








7 80 




Pork. 43.380 pounds. 








3.470 40 




Posts, fence. 1.295. . 








323 75 




Potatoes. 2.722 bushels. . 








2.5S5 90 




Potatoes, sweet. H bushels. 








3 75 




Pumpkins. 2.455 pounds. 








73 65 




Quince. 1 bushel. 








2 00 




- hot house. 492 dozen bunches,. 




123 00 




Radishes, out doors. 165 dozen bunches. 




41 25 




Rhubarb. 12.332 pounds. 




246 64 




Rye straw. 20 tons. 








400 00 




Rye. 180 bushels, 








144 00 




Salsify, 3 bushels. . 








2 25 




Spinach. 530 bushels. 








212 00 




Squash, summer. SO barrels. 








80 00 




Squash, winter. 47.530 pounds. 








712 95 




Strawberries. 6.324 quarts. 








515 92 




Tomatoes, ripe. 229 bushels. 








171 75 




Tomatoes, green. 43 bushels. 








21 50 




Turnips. 374 barrels. 








467 50 




Veal. 515 pounds. . 








56 65 




Wood. 104 cords. 








- 00 








$43,865 06 




- : — 




Calves S299 25 




Hides 460 57 




Pigs 93 60 




Sundries. 206 08 








1.059 50 






144,924 56 



1909.] PUBLIC DOCUMENT — No. 21. 29 

Live stock belonging to the hospital : — 

Bulls, 4, $461 00 

Calves, 2, • . 65 00 

Colts, 2, 250 00 

Cows, 71, 5,345 00 

Fowls, 354, 354 00 

Heifers, 41, 1,350 00 

Hogs, 365, 2,700 00 

Horses, 14, 2,650 00 

Oxen, 16, 1,600 00 

Total live stock, $14,775 00 



30 



NORTHAMPTON STATE HOSPITAL. 



[Dec 



VALUATION 



Real Estate. 
Grounds and building sites, 23 acres, 
Woodland, 93 acres. 
Mowing. 110 acres, . 
Pasturage, 185 acres, 
Tillage, 100 acres, . 
Hospital building, . 
Farmhouse, .... 
Brick house, .... 
Six dwellings, 

Storehouse, shops and cold storage, 
2 barns, .... 

Cow stable. .... 
Horse stable. .... 
Piggery. .... 

Lumber shed, 

Cart shed, .... 
Pump house, .... 
Paint shop, .... 
Ice house, .... 

Total real estate, 



Personal Estate. 
Provisions and groceries, .... 

Ready-made clothing, .... 

Dry goods, ...... 

Furnishings in inmates' departments, 

Personal property in superintendent's department 

All other property. ..... 

Fuel, ....... 

Machinery and fixtures, .... 

Live stock on farm, .... 

Produce of farm on hand, 

Carriages and agricultural implements, 

Drugs and medicines, .... 

Library, ...... 



S6,900 00 

11,625 00 

13,750 00 

12,125 00 

12,500 00 

616,619 00 

1,500 00 

1,700 00 

5,500 00 

30,000 00 

5,500 00 

13,000 00 

6,000 00 

3,000 00 

850 00 

400 00 

400 00 

2,039 00 

800 00 



$744,208 00 



$10,686 74 

2,657 62 

916 31 

24,120 00 

10,000 00 

3,185 60 

3,289 93 

21,750 00 

14,775 00 

15,689 31 

5,256 00 

785 67 

1,250 00 



Amounts carried forward, 



$114,362 18$744,20S 00 



1909.] PUBLIC DOCUMENT — No. 21. 31 

Amounts brought forward, . . . $114,362 18 $744,208 00 

Unexpended balance of maintenance appropria- 



tion, ........ 

Unexpended balance of special appropriations, . 
Accounts receivable, . 


. 15,378 66 

1,402 61 

12,367 96 

1J.Q ^11 41 






Accounts Payable. 
Maintenance, ....... 

Trust funds : — 

Patients' money, . 

Endowments and other funds, 


$887,719 41 
. $13,731 46 

$1,384 59 
652 92 

o n^7 ^i 


Excess of resources over liabilities, 


. 871,950 44 


Current expenses, ...... 

Average number of patients, . . . . 

Average weekly cost, . . . . . 

Statement of Funds. 

Patients' Funds. 

On hand Nov. 30, 1908, 

Receipts, ....... 


$887,719 41 

. $173,352 80 

858 + 

$3.87 

$1,325 31 
1,201 01 

ffio roe qo 


Refunded, ....... 


<pZ,Oz.O OZ 

1,141 73 



Balance on hand Nov. 30, 1909, .... $1,384 59 

Fred B. Kelly Fund. 

Balance Nov. 30, 1908, $629 11 

Income, . . . 23 81 



Balance on hand Nov. 30, 1909, .... $652 92 



32 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



TREASURER'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I respectfully submit the following report of the finances of 
this institution for the fiscal year ending Nov. 30, 1909 : — 





Cash Account. 






Receipts. 




Institution Receipts. 






Board of inmates : — 






Private, 


$30,990 73 




Reimbursements, 


13,977 00 


$44,967 73 






Sales : — 






Food, 


$174 93 




Clothing and materials, 


281 01 




Furnishings, 


10 18 




Repairs and improvements 


3 56 




Miscellaneous, 


96 09 


565 77 


Farm, stable and grounds : - 




Cows and calves, 


$299 25 




Pigs and hogs, 


93 60 




Hides, 


460 57 




Ice, . . . • . 


8 60 




Sundries, . 


197 48 





Miscellaneous receipts : — 

Interest on bank balances, 
Sundries, . 



$93 78 
181 24 



Receipts from Treasury of Commonwealth. 
Maintenance appropriations : — 

Balance of 1908, .... 

Advance money, .... 

Approved schedules of 1909, 



Special appropriations, 
Total, 



1,059 50 



275 02 



$10,038 80 

5,000 00 

159,621 34 



$46,868 02 



174,660 14 

2,168 22 

$223,696 38 



1909.' 



PUBLIC DOCUMENT — No. 21. 



33 



Payments. 

To treasury of Commonwealth, institution receipts, $46,868 02 

Maintenance appropriations : — 

Balance November schedule, 1908, . . 10,038 80 

Eleven months' schedules, 1909, . . . 159,621 34 

November advances, ..... 3,931 36 

Special appropriations : — ■ 

Approved schedules, ........ 



Balance Nov. 30, 
In bank, 
In office, 



Total, 



1909 



S411 96 
656 68 



S220,459 52 

2,168 22 

$222,627 74 

1,068 64 
$223,695 38 



Maintenance. 



Appropriation, ....... 

Expenses (as analyzed below), .... 

Balance reverting to treasury of Commonwealth, 



8175,000 00 
173,352 80 

$1,647 20 



Analysis 


of Expenses. 




Salaries, wages and labor : — 




General administration, . . $17,194 58 




Medical service, . 






8,044 61 




Ward service (male), . 






11,982 13 




Ward service (female), 






10,127 76 




Repairs and improvements, 






5,716 29 




Farm, stable and grounds, . 






8,955 05 








$62,020 42 




Food : — 




Butter, .... 810,768 21 




Butterine, . 








45 40 




Beans, 








430 27 




Bread and crackers, 








516 48 




Cereals, rice, meal, etc., 








1,289 45 




Cheese, 








280 33 




Eggs, 








7,567 09 




Flour, 








8,400 45 




Fish, 








2,284 65 




Fruit (dried and fresh), 








2,281 24 




Meats, 








8,370 85 




Molasses and syrup, 








506 70 




Sugar, 








3,511 62 




Tea, coffee, broma and cocos 


i, 






1,669 96 




Vegetables, 








2,583 65 




Sundries, . 








1,548 80 








52,055 15 




Amount carried forward, ....... 


$114,075 57 



34 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Amount brought forward, 

Clothing and materials : — 
Boots, shoes and rubbers, 
Clothing, ..... 
Dry goods for clothing and small wares, 
Furnishing goods, 
Hats and caps, .... 
Leather and shoe findings, . 
Sundries, ..... 

Furnishings : — 

Beds, bedding, table linen, etc., 

Brushes, brooms, 

Carpets, rugs, etc., 

Crockery, glassware, cutlery, etc., 

Furniture and upholstery, 

Kitchen furnishings, . 

Sundries, ..... 



Heat, light and power 
Coal, 
Wood, 
Electricity, 
Gas, 
Oil, . 
Sundries, . 



Repairs and improvements : — 
Cement, lime and plaster, 
Electrical work and supplies, 
Hardware, 

Lumber, .... 
Machiner} r , etc., . 
Paints, oil, glass, etc., 
Plumbing, steam fitting and suppl 
Roofing and materials, 
Sundries, . 

Farm, stable and grounds : — 
Blacksmith and supplies, 
Carriages, wagons, etc., and repairs, 
Fertilizers, vines, seeds, etc., 
Hay, grain, etc., 
Harnesses and repairs, 
Horses, 
Cows, 

Other live stock, 
Rent, 

Tools, farm machines, etc, 
Sundries, . 



Amount carried forward, 







$114,075 57 


$1,120 


30 




1,233 


31 




2,166 


22 




294 22 




37 


00 




77 


20 




20 


07 


4,948 32 






$4,559 


79 




130 


45 




729 82 




839 


10 




379 


02 




248 


95 




256 92 








7,144 05 






$12,568 


54 




47 


40 




25 


68 




69 


54 




119 


01 




316 


14 


13,146 31 






$256 


70 




479 


08 




1,154 


00 




1,149 


87 




985 


17 




1,325 


15 




1,023 


00 




104 


06 




433 


87 


7,210 90 






$450 51 




242 


70 




1,877 


48 




10,227 


66 




228 


29 




500 


00 




280 


00 




927 


60 




14 


86 




392 


02 




1,124 


34 


16,265 46 








$162,790 61 



1909. 



PUBLIC DOCUMENT — No. 21. 



35 



Amount brought forward, 

Miscellaneous : — 

Books, periodicals, etc., 

Chapel services and entertainments, 

Freight, expressage and transportation, 

Funeral expenses, 

Ice, ...... 

Medicines and hospital supplies, . 
Medical attendance, nurses, etc. (extra) 
Postage, ..... 

Printing and printing supplies, 
Printing annual report, 
Return of runaways, . 
Soap and laundry supplies, 
Stationery and office supplies, 
Travel and expenses (officials), 
Telephone and telegraph, 
Tobacco, ..... 

Water, ..... 

Sundries, ..... 



Total expenses for maintenance, 

Special Appropriations 

Balance Dec. 1, 1908, 

Expended during the year (see statement annexed), 

Balance Nov. 30, 1909, .... 







$162,790 61 


$234 98 




781 


70 




125 


73 




85 


00 




31 


85 




1,404 


91 




694 


64 




345 


00 




84 


41 




167 


33 




40 


48 




1,092 


29 




275 


72 




513 


96 




157 


25 




809 


70 




2,701 


71 




1,015 


53 


10,562 19 




• 


• 


$173,352 80 






$3,570 83 




* 


2,168 22 


, 


$1,402 61 



Resources and Liabilities. 

Resources. 

Cash on hand, $1,068 64 

November cash vouchers (paid from advance 

money), 3,931 36 

Due from treasury of Commonwealth, account 

November, 1909, schedule, . . . 8,731 46 



$13,731 46 



Liabilities. 



Schedule of November bills, 



$13,731 46 



36 



NORTHAMPTON STATE HOSPITAL. [Dec. 1909. 





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40 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



2. — Insane received on First and Subsequent Commitments. 





Cases committed. 


NUMBER OF COMMITMENTS. 










Males. 


Females. 


Totals. 


First to this hospital, 


119 


123 


242 


Second to this hospital, . 


11 


14 


25 


Third to this hospital, 


4 


5 


9 


Fourth to this hospital, 


1 


1 


2 


Fifth to this hospital, 


1 


- 


1 


Sixth to this hospital, 


- 


1 


1 


Seventh to this hospital, 


1 


- 


1 


Ninth to this hospital, 


1 


- 


1 


Total cases, 


138 


144 


282 


Total persons, . 


138 


144 


282 


Never before in any hospital for insane, .... 


114 


119 


233 



Nativity and Parentage of Insane Persons first admitted to Any 
Hospital. 















Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


o5 


a 






to 


00 

s 


go 


i 


no 
3 




.2 

PL, 


a 
« 
^ 


St 

o 

3 


.2 

"S 

Ph 


si 


Si 
O 


.2 
Ph 


Ph 


si 
o 


Massachusetts, .... 


43 


25 


26 


44 


19 


19 


87 


44 


45 


Other New England States, . 


18 


12 


12 


11 


8 


12 


29 


20 


24 


Other States, 


11 


7 


5 


15 


11 


7 


26 


18 


12 


Total native 


72 


44 


43 


70 


38 


38 


142 


82 


81 


Other countries: — 




















Austria, 


2 


3 


3 


2 


2 


3 


4 


5 


6 


Bohemia, . 










1 




1 


- 


- 


- 


1 


1 


1 


Canada, . 










11 


17 


17 


9 


10 


13 


20 


27 


30 


England, . 










3 




5 


4 


7 


7 


7 


12 


12 


Germany, 










6 


10 


8 


3 


5 


4 


9 


15 


12 


Hungary, 










1 




1 


- 


- 


- 


1 


1 


1 


Ireland, . 










12 


24 


27 


22 


43 


40 


34 


67 


67 


Italy, 












1 




2 


3 


4 


4 


4 


6 


6 


Poland, 












1 




1 


1 


1 


1 


2 


2 


2 


Russia, 












1 




1 


1 


1 


1 


2 


2 


2 


Scotland, 












2 


2 


2 


3 


3 


3 


5 


5 


5 


Sweden, 












1 


2 


2 


- 


- 


- 


1 


2 


2 


Syria, 












- 


- 


- 


1 


1 


1 


1 


1 


1 


Total foreign, 


42 


69 


70 


49 


77 


77 


91 


146 


147 


Unknown, 










- 


1 


1 


- 


4 


4 


- 


5 


5 


Totals 












114 


114 


114 


119 


119 


119 


233 


233 


233 



1909. 



PUBLIC DOCUMENT — No. 21. 



41 



4. — Residence of Insane Persons admitted by Commitment. 













First admitted 

to Any 

Hospital. 


All Other 
Admissions. 


Totals. 




o 


a 

01 




55 

8 


ori 
53 

a 


3 





a 


t3 

O 


Hampshire County, 
Hampden County, 
Franklin County, 
Berkshire County, 
Bristol County, 
Suffolk County, 










14 
60 
10 
29 

1 


21 
58 
15 
25 


35 
118 
25 
54 

1 


7 
10 

7 


6 
10 
2 
6 

1 


13 

20 

2 

13 

1 


21 
70 
10 
36 
1 


27 
68 
17 
31 

1 


48 
138 
27 
67 

1 
1 


Totals, 
Unknown, 


114 


119 


233 


24 


25 


49 


138 


144 


282 


Totals, 
Cities and towns, 
Country districts, 


114 
82 
32 


119 

92 

27 


233 
174 
59 


24 

21 

3 


25 

21 

4 


49 
42 

7 


' 138 
103 
35 


144 
113 
31 
144 


282 

216 

66 


Totals, 


114 


119 


233 


24 


25 


49 


138 


282 



5. — Civil Condition of Insane Persons first admitted to Any Hospital. 





Males. 


Females. 


Totals. 


Unmarried, 


46 


48 


94 


Married, 


52 


52 


104 


Widowed, 


13 


16 


29 


Divorced, 


3 


3 


6 


Unknown, 


- 


- 


- 


Totals 


114 


119 


233 



42 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



6. — Occupation of Insane Persons first admitted to Any Hospital. 



Males. 



Armorer, .... 1 


Office boy, . 


1 


Baker, 






1 


Operatives, . 


15 


Barbers, 






4 


Painters, 


4 


Blacksmith, . 






1 


Policeman, . 




Cabinet maker, 






1 


Railroad brakeman, 




Carpenters, . 






3 


Railroad fireman, . 




Farmers, 






12 


Real estate agent, 




Farm hands, 






6 


Salesmen, 




Foundry man, 






1 


Saloon keeper, 




Harness maker, 






1 


Shoemakers, 




Hotel keeper, 






1 


Stationary engineer, 




Insurance agent, 






1 


Student, 




Iron polisher, 






1 


Tailor, 




Jewelers, 






3 


Teamsters, . 




Laborers, 






19 


Tool maker, 




Livery man, 






1 


Watch maker, 




Machinists, . 






2 


Whip maker, 




Merchants, . 






3 


No occupation, 


8 


Musician, 






1 







Nurse, 






1 


Total, . 


. 114 



Females. 



Cook, . .1 


Stenographer, 


1 


Domestics, . 






14 


Student, 


1 


Dressmakers, 






2 


Tailoresses, . 


. 2 


Housekeepers, 






14 


Teachers, 


. 2 


Laundresses, 






2 


Typesetter, . 


1 


Nurse, 






1 


No occupation, 


. 22 


Operatives, . 






13 






Peddler, 






1 


Total, . 


. 78 


Seamstress, . 






1 







1909.1 



PUBLIC DOCUMENT— No. 21. 



43 



6. — Occupation of Insane Persons first admitted to Any Hospital 

Concluded. 









Wife 


OF — 




Actor, . 
Bartender, . 






1 

1 


Operative, . 
Painter, 


. 5 
2 


Clerk, . 
Farmer, 
Laborer, 
Livery man, 
Machinist, 






2 

2 

17 

1 
2 


Printer, 
Salesman, 
Saloon keeper, 
Teamster, 


1 
. 2 

1 
. 2 


Millwright, . 
Molder, 






1 

1 


Total, . 


. 41 



44 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



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PUBLIC DOCUMENT— No. 21. 



45 



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46 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



9. — Probable Duration 


of Mental Disease 


before Admission. 




First admitted to Any Hospital. 


PREVIOUS DURATION. 


Males. 


Females. 


Totals. 


Congenital, . 






20 


5 


25 


Under 1 month, 






31 


10 


41 


From 1 to 3 months, 






16 


16 


32 


3 to 6 months, 






7 


16 


23 


6 to 12 months, 






7 


10 


17 


1 to 2 years, 






11 


13 


24 


2 to 5 years, 






16 


27 


43 


5 to 10 years, 






3 


6 


9 


10 to 20 years, 






1 


3 


4 


Over 20 years, 






- 


9 


9 


Totals, . 


112 


115 


227 


Unknown, 






2 


4 


6 


Totals, . 


114 


119 


233 


Average known duration (in years), 


1.16 


3.61 


2.52 



1909.] 



PUBLIC DOCUMENT — No. 21. 



47 



-I 



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y hospital: — 

lity, .... 

anity, .... 

anity: — 




A. — First admitted to an 
Insane: — 
Acute alcoholic insai 
Acute delirium, 
Chronic alcoholic ins 
Dementia pra;cox, 
Epilepsy, . 
Involution psychosis 
Manic-depressive ins 
Depressed form, 
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Mental deficiency, 
Organic dementia, 
Paranoia, . 
Paresis, 

Senile dementia, 
Morphine habit, 
Not insane, . 


•< 

*3 
o 

H 



48 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 





Total 
Discharges 
and Deaths. 


■SIB^OX 


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< < 



1909. 



PUBLIC DOCUMENT— No. 21. 



49 



^3 





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IONS. 


"3 


NUMBER OF ADMIS& 


«. "3 ^-* ."t2 *3 »^ 

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•£ 2 a ° 2 ^ 

cc ^ o -O O 

1 a a 1 a i 

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50 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



w 

" 03 

7-> (A 

W 

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•srwjoj, 


1 1 1 1 1 1 1 1 II II »H*H III I || 


cn 


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i i . i i i i i ii i i i i iii i ii 


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1 1 1 1 1 1 1 1 II till 1 ip-HH 1 1 1 


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- 






General diseases: — 

Carcinoma, 

Chronic rheumatism, 

Diabetes millitus, 

Gangrene of hand, 

General peritonitis, 

Intestinal tuberculosis, 

Senility, 

Tubercular meningitis, 

Diseases of the nervous system: — 

Multiple sclerosis, 

Diseases of the circulatory system: — 

Arteriosclerosis, 

Cerebral hemorrhage, 

Endocarditis, 

Myocarditis, 

Diseases of the respiratory system: — 

Broncho pneumonia, 

(Edema of the lungs, 

Pulmonary tuberculosis, 

Diseases of the digestive system: — 

Intestinal obstruction, 

Diseases of the genito-urinary system: — 

Chronic interstitial nephritis, .... 
Suicide by hanging, 


o 



1909. 



PUBLIC DOCUMENT — Xo. 21. 



51 



oa as 

§ = 

- ~ 

m 

03 


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(leneral diseases: — 

Caroinoma, 

chronic rheumatism, 

I )iabetes mellitus, 

( langrehe of hand, 

( Icncral peritonitis, ......... 

Intestinal tuberculosis, 

Senility, . 

Tubercular meningitis, 

1 diseases of the nervous system: — 

General paralysis of the insane, ...... 

M ult [pie sclerosis, ......... 

Diseases of t he circulatory system: — 

Arteriosclerosis, .......... 

Cerebral hemorrhage, 

Endocarditis 

Myocarditis, 

Di.seases of the respiratory system: — 

Broncho pneumonia, 

(Edema of the lungs, 

Pulmonary tuberculosis, 

Diseases of the digestive system: — 

Intestinal obstruction, . 

Diseases of the geni to-urinary system: — 

Chronic interstitial nephritis, 

Suicide by hanging, 


03 

I 



52 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



-^ 



60 



00 

Z 

o 

1 

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a 
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a 

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WHOLE KNOWN 

PERIOD OF HOSPITAL 

RESIDENCE. 


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PUBLIC DOCUMENT — No. 21. 



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Public Document 



No. 21 



3 



FIFTY-FIFTH ANNUAL REPORT 



THE TRUSTEES 



OF THE 



NORTHAMPTON STATE HOSPITAL, 



Year ending November 30, 1910. 




BOSTON: 

WEIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1911. 



Public Document 



No. 21 



FIFTY-FIFTH ANNUAL REPORT 



THE TRUSTEES 



NORTHAMPTON STATE HOSPITAL, 



FOR THE 



Year ending Xovember 30, 1910. 




/$W BOSTON: 

WEIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1911. 



9c 



w 



((M^JtM^. i/jri 



thwri 



Approved by 
The State Board of Publication. 



342-2^3 

3 



CONTENTS 



List of Officers, 5 

Report of Trustees, 7 

Report of Superintendent, ........ 10 

Report of Treasurer, 32 

Statistics, 39 



OFFICERS 



NOETHAMPTON STATE HOSPITAL. 



TRUSTEES. 

EMILY N. NEWTON Holyoke. 

CAROLINE A. YALE Northampton. 

F. W. CHAPIN, M.D., Chairman, . . . . . Springfield. 

JOHN McQUAID, Pittsfield. 

HENRY L. WILLIAMS, Secretary, Northampton. 

CHARLES S. SHATTUCK Hatfield. 

FRANKLIN E. SNOW Greenfield. 

RESIDENT OFFICERS. 

JOHN A. HOUSTON, M.D., Superintendent. 

CHARLES H. DEAN, M.D., Assistant Physician. 

HARRIET M. WILEY, M.D., Assistant Physician. 

EDWARD W. WHITNEY, M.D Assistant Physician. 

C. STANLEY RAYMOND, M.D Assistant Physician. 

MABEL C. CRUTTENDEN, M.D., Assistant Physician. 

LEWIS F. BABBITT, Clerk. 

WAVERLEY D. PACKARD, ...... Engineer. 

SUSAN E. WARREN Matron. 

CARL W. HAMMOND Farmer. 

TREASURER. 

LEWIS F. BABBITT Northampton. 

Office at the Hospital. 



<£[je €otnmontocoltl) of Jrtaesacfyusetie. 



TRUSTEES' REPORT. 



To His Excellency the Governor of the Commonwealth and the Hon- 
orable Council. 

The trustees of the Northampton State Hospital respectfully 
submit their fifty-fifth annual report. 

There has been nothing unusual to record in the history of 
the hospital for the past year, but it has been a busy year, as 
may be seen by referring to the table of general statistics for 
the year. The number of different persons cared for has been 
larger than ever before, but the daily average number has been 
but little larger than last year, because of the frequent trans- 
fers of patients to other institutions by the State Board of In- 
sanity. 

The financial affairs of the institution have been well man- 
aged, as will appear from the treasurer's report. A consider- 
able portion of the sum appropriated for maintenance for the 
year reverts to the State Treasury, not being needed, principally 
because the number of patients supported has been smaller than 
we were advised to expect. The cost psr patient was the same 
as last year, $3.87 per week. 

The State Board of Insanity estimates that we shall have a 
daily average number of 883 patients for the coming year. To 
care for these we ask for the sum of $180,000, our estimates 
being based on the expenditures of the past two years. 

We recommend appropriations for the building and equipping 
of a new laundry and an addition to our bakery, with new ovens. 

The rooms now used for laundry purposes were formerly the 
old engine room, boiler room, carpenters' shop and machine shop. 
They were remodeled and equipped as a laundry in 1893-94, 
and have been well adapted for such use till recently. In 1894 



8 NORTHAMPTON STATE HOSPITAL. [Dec. 

the number of patients and employees for whom the laundry 
work was done was about 550; at present there are nearly twice 
that number here. The space is now quite inadequate for the 
amount of work required, and the machinery is so old and worn 
as to need replacing. 

Plans for a new building have been drawn, and estimates of its 
cost and the cost of machinery for equipping it have been sub- 
mitted. These estimates amount to $40,425. 

The bakery oven has been in use sixteen years. During the 
past few years it has several times required repairing, at consider- 
able expense and great inconvenience. Attention has been called 
to this matter in previous reports. New ovens are now needed to 
replace the old one and to increase the baking capacity. To ac- 
commodate these it is proposed to erect a building connected with 
the present bakery, one story high. 

Plans have been made for these additions, and bids for build- 
ing them have been submitted. The cost of building and equip- 
ment will be $6,500. 

It is with deep sorrow that we record the deaths of two of our 
associates, Mrs. Sarah A. Woodworth and Mr. Alvan Barrus. 
Mrs. Woodworth died suddenly on Feb. 1, 1910. She was ap- 
pointed a member of our Board by Governor Robinson, in 1884, 
one of the two women to first serve on our Board. At the time 
of her death she was its senior member in point of service. From 
the first she took great interest in the affairs of the hospital, the 
welfare of the patients being always near her heart. She never 
missed a meeting of the Board unless unavoidably prevented, 
and she made many informal calls to visit the patients, who 
gladly welcomed her coming and were encouraged by her visits. 

Mr. Barrus died March 28, 1910. Appointed in 1890, he had 
for twenty years taken a very active interest in all matters per- 
taining to the management of the hospital. During his term 
of service the hospital buildings were very largely remodeled and 
many additions were made. Mr. Barrus had much to do in the 
oversight of all these changes, serving on nearly every committee 
having charge of them. He was untiring in his zeal for what- 
ever pertained to the welfare of the hospital and of its inmates. 
He had the deepest respect of his associates, of the officers and 
of the patients. 



1910.] PUBLIC DOCUMENT — No. 21. 9 

On March 1 Mr. Carl W. Hammond, who for several years had 
been in charge of the town farm of Amherst, was appointed head 
farmer, in place of Mr. Joseph G. Cook, who had resigned in 
order to manage his own farm*. 

EMILY N. NEWTON. 
CAROLINE A. YALE. 
F. W. CHAPIN, M.D. 
JOHN McQUAID. 
HENRY L. WILLIAMS. 
CHARLES S. SHATTUCK. 
FRANKLIN E. SNOW. 



10 NORTHAMPTON STATE HOSPITAL. [Dec. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I herewith respectfully present my report of the operations 
of the hospital for the year ending Nov. 30, 1910. 

On Oct. 1, 1909, there were 888 patients under our care, either 
at the hospital or boarded out in private families, and 41 were 
out on trial visit. 

Within the following year 320 patients were committed to the 
hospital, 16 came on voluntary commitment, 4 were transferred 
from other hospitals or from family care, 6 were returned from 
visit and 2 were returned from escape. The whole number of 
cases cared for was 1,236, — the largest number in the history 
of the hospital by 87. In addition to these, 35 cases were nomi- 
nally admitted from visit for the purpose of discharge, making 
a total number of 1,271 on our records. 

Our daily average number of patients, 852, though larger than 
ever before, was only 4 more than last year, notwithstanding 
the large number of admissions, being kept comparatively low by 
the transfer of patients to other institutions. 

Of the patients who were admitted during the year, 43 per 
cent, were foreign born and 65 per cent, were of foreign parent- 
age; 31 per cent, were born in Massachusetts. The average age 
of the men admitted was forty-three years and of the women forty- 
five years. Seventy of the persons admitted were over sixty 
years old, 37 of them being over seventy and 10 over eighty years 
old. The insanity was of long duration in more than 200 cases, 
and nearly 250 had a form of insanity from which recovery is not 
to be expected. The principal causes of the insanity, so far as 
ascertainable, were heredity, intemperance, organic brain disease 
and senility. 

The number of cases dismissed was 416. This number includes 
114 who were transferred to the Worcester State Asylum, to the 
State Colony for Insane at Gardner and to family care by the 
State Board of Insanity, and 58 who were out on trial visit at 



1910.] PUBLIC DOCUMENT — No. 21. 11 

the end of the year. Those discharged, 145 in number, include 
33 who had recovered, 44 who were capable of self-support, 47 
who showed more or less improvement, 16 who were not im- 
proved and 5 who were not insane voluntary cases. There were 
87 deaths and 12 elopements. 

The proportion of recoveries is about the average for a number 
of years, and is as large as can be expected, considering the mental 
condition of the patients when admitted. A brief study of the 
statistical tables will show that only a small number, compara- 
tively, had favorable prospects of recovery. Many of the patients 
who were not credited by us with complete recovery are never- 
theless considered well by relatives and friends, and quite a number 
who are not quite well at the time of discharge complete their 
recovery at home. 

The percentage of deaths, based on the whole number cared 
for, was 7.04; on the daily average number, it was 10.2. Senile 
conditions caused the death of 30 patients; endocarditis, 7; 
myocarditis, 4; pulmonary tuberculosis, 2. A large proportion 
of those who died were old people, and in many of them the in- 
sanity had existed for years. Fourteen of them were over eighty 
years of age. 

Twenty of the patients in the hospital during the year were 
voluntary cases, 15 of whom were not considered insane. Five of 
them had been here as patients previously, one or more times. 
Our experience leads us to favor this form of commitment, and 
it is hoped that it will be taken advantage of more freely as its 
opportunities become more widely known. 

There were 10 patients boarded out in private homes during 
the year, under our supervision. Two of these were discharged, 
leaving 8 in family care at the end of the year. 

Treatment of patients has been along the broad lines well 
understood and practised in most hospitals of to-day. We find 
most useful such general measures as removal of the causes of 
insanity so far as possible, regulation of the bodily health and 
diversion in the forms of work and play. To keep the mind oc- 
cupied in a way to exclude the morbid thoughts and insane ideas 
is to promote the prospects of recovery and improvement. 

Little reliance is placed upon treatment by drugs. Of thera- 
peutic measures, hydrotherapy and rest are found most successful. 



12 NORTHAMPTON STATE HOSPITAL. [Dec. 

Our experience with- hydrotherapy has been frequently recorded 
in former reports. Increasing use is being made of rest in bed 
for all disturbed conditions. Many of the new patients are put 
to bed on admission, where they are kept for periods varying 
from a few days to a few weeks, or even longer. This ensures 
much-needed rest, and affords better opportunity for observa- 
tion and study by nurses and physicians. It has been noticed 
that this has an excellent mental effect upon the patient. He 
is likely to consider himself a patient in a hospital, undergoing 
treatment, rather than a person under detention. Rest in bed 
occasionally is also exceedingly beneficial for patients who are 
subject to periodical attacks of nervousness or of acute mental 
disturbance. 

Inasmuch as many of our patients leave the hospital for a 
trial visit at home before they have fully recovered, our sense of 
responsibility does not end with their departure from the hos- 
pital. They are encouraged to write us freely for advice when- 
ever they feel need of it, or to visit us at the hospital; and are 
requested to send a written report of their condition before they 
are finally discharged. 

It is so obviously the duty of the hospital to help its patients to 
keep well after their discharge, that it would also seem appropriate 
and advisable as a measure of prevention for one of the hospital 
physicians to see, in consultation with the family physician, at 
no expense to the patient, not only cases that are likely to be 
committed to the hospital, but any case where the question of 
hospital treatment is being considered. This would entail added 
expense to the hospital, and would probably require an addi- 
tional member on the hospital staff; but the good to the commu- 
nity and final saving to the State might more than offset the 
expense incurred. We have done a little along this line for years, 
having seen and advised, without charge, any patient, or his 
friends or physician, who has been willing to come to the hos- 
pital for that purpose. Sometimes a course of treatment can 
be advised that will enable a patient to be cared for at home, 
who otherwise would have to be committed to the hospital. On 
the other hand, it is occasionally possible to persuade a patient 
to accept early hospital treatment with prospect of speedier re- 
covery than if commitment had been delayed. 



1910.] PUBLIC DOCUMENT — Xo. 21. 13 

In treatment of our patients, one of the most important factors 
is the personal attention given by the medical attendant and by 
the nurses. A large measure of success is due to intelligent 
nursing. Our training schools are thus doing excellent work. 
Unfortunately, the number of nurses we can secure is too small 
for our needs. There are so many State and city institutions 
and private hospitals needing nurses, that the demand always 
exceeds the supply, especially in these days of plentiful oppor- 
tunities for obtaining work of a more agreeable nature than caring 
for patients in a State institution. 

The work of training in our school has gone forward success- 
fully with a large class this year, though the graduating class 
was small. Four nurses, Misses Dean, Kelley, Manning and 
Scholz, were graduated in October. Miss Bedell had direction 
of the school, assisted by Miss Watson. The lectures, 65 in 
number, were given by members of the staff. Miss Hedges gave 
14 lessons in special cooking for invalids. 

Patients have been kept busily employed in the various de- 
partments of the hospital. It is considered advisable, as bene- 
ficial to the patient, that every one physically able shall have 
some form of employment. For those not strong physically, 
this may be limited to the care of each one's bed room, to sweep- 
ing or dusting the corridors, washing dishes and like work. The 
stronger patients are employed in the kitchen, laundry, sewing 
rooms, at the shops and on the farm. Out-of-door work is un- 
doubtedly best suited to the largest number. Gardening, farm 
work and grading, under the direction of an employee, do not 
entail mental effort; they easily divert the minds of the patients 
and tend to improve the physical condition. The male patients 
have always helped on the farm, in large numbers. Xow the 
women are working out in increasing numbers, picking straw- 
berries, raspberries, blackberries, currants and pease; and for 
two or three years a few of them have had plots of ground to 
cultivate. This has added greatly to their pleasure and content- 
ment. They select for themselves what they wish to raise, 
flowers or vegetables. The latter they use on their own tables 
as salads and relishes. Pickles and preserves are made for winter 
use. The women knit mittens, shoulder capes, caps and bedroom 
slippers, to be used on the Christmas tree as gifts for other patients. 



14 NORTHAMPTON STATE HOSPITAL. [Dec. 

Many repairs are needed every year in an institution as old 
as this. Each employee engaged in making these repairs has 
one or more patients as helpers. Patients have painted the walls 
and ceilings in the male department; have caned the seats of 
chairs and mended broken furniture; repaired boots and shoes; 
have made all the new mattresses and remade old ones. All of 
the tin ware used in the hospital is made by one of the patients. 
The grounds to the west and north of the infirmary for men have 
been graded by the patients, and they have helped in laying 
cement walks near the kitchen and laundry. A new cement 
walk, 1,850 feet in length, has been laid along the highway from 
the bridge on West Street to the entrance to our grounds at the 
top of the hill. The city of Northampton laid half of this and 
the hospital the rest. The part built by the hospital was done 
largely with patients' help. 

In accordance with the suggestions in our report of a year ago, 
the house near our main entrance, formerly occupied by our 
head farmer, has been remodeled to accommodate a small family 
and four married couples, nurses and attendants. This is now 
nearly ready for use. 

The old "Day" barn, so called, has been remodeled on the 
ground floor to accommodate 30 calves, and the basement floor 
is now being changed to make more convenient accommoda- 
tions for about 40 steers. 

In addition to the routine farm work, about eight acres of 
land on the west side of Sunset hill was cleared of stones and 
plowed, and a mile and a half of wire fencing was built at vari- 
ous places on the farm. 

The table of farm products will show the past season to have 
been a prosperous one. There was an excellent crop of hay and 
of corn. The yield of potatoes was only fair, however, and some 
of the other vegetables suffered from the drouth. The total 
market value of farm products is $50,417.85. 

We continue the custom of testing our entire herd of cows for 
tuberculosis each year, and of immunizing the calves. It is be- 
lieved that our herd is as nearly free from tuberculosis as it is 
possible to secure. 

There have been 159 assemblies of patients during the year, 
as follows: religious services were held on each Lord's Day, con- 
ducted by the different clergymen of this vicinity; there were 



1910.] PUBLIC DOCUMENT — No. 21. 15 

readings on fifty evenings, stereopticon lectures on three evenings, 
piano concerts on three evenings, phonograph concerts on two 
evenings, card parties on two evenings and dancing parties on 
twenty-six evenings. In addition to the above, there were the 
following entertainments: December 6, dramatic reading, 
"Martin Chuzzlewit," Mr. Truman; December 14, dramatic 
readings, Mr. Frye; December 20, violin, piano and song reci- 
tal, Mr. and Mrs. Wheeler and Miss Lord; December 24, Christ- 
mas tree; February 12, Oxford Entertainment Club of Trinity 
Church, Springfield; February 22, piano and song recital, Mr. 
Bradley and Mr. Hewett; February 28, music and legerdemain, 
Mr. Harrell; March 7, dramatic readings, Mrs. Moulton; March 
23, violin and piano recital, Mr. and Mrs. Angeloty; March 28, 
concert by the Misses Woods; April 2, vaudeville by the Oxford 
Club of Trinity Church, Springfield; Apiil 12, character sketches 
by Mr. Blood; May 3, songs and readings, Mr. Reynolds; May 
17, ventriloquism, Mr. Prescott; May 31, concert by the Peter- 
son family; June 4, concert by "The Marshalls;" July 4, band 
concert; October 12, training school graduation; October 20, 
dramatic reading and dancing, Mrs. Richings; October 24, 
music and short stories, Mr. Lorraine; October 31, Hallowe'en 
party; November 9, piano and banjo recital, Mr. Bill and Mr. 
Strout; November 26, legerdemain, Mr. Springer. 

We have received gifts from friends of the hospital and its 
patients, for which we are very grateful. We wish to express 
our appreciation to the following persons: for presents for 
the Christmas tree, Mrs. W. T. Parker, Mrs. J. L. Egbert, 
Mrs. Russell, Miss Vincens, Mrs. R. C. Lucius, Miss Jennie 
Allard and Miss Florence Austin; Miss Florence Austin, for 
subscriptions to two copies of the "Youths' Companion;" Miss 
May B. Dickinson, for crepe paper for decorations at Christ- 
mas and Hallowe'en; for magazines and papers, Mrs. Pomeroy, 
Mrs. Ganong, Mrs. M. L. Graves, Mrs. Louis Graves, Miss 
Barber, Mrs. E. S. Ross, Mr. Charles E. Barton, Mrs. L. D. 
James and Mr. Clifford H. Lyman; "Christian Register," 
"Dumb Animals," "New Church League Journal" and "The 
Healthy Home Quarterly" have been regularly received from 
their publishers. 

JOHN A. HOUSTON, 

Superintendent. 



16 NORTHAMPTON STATE HOSPITAL. [Dec. 



DIETARY OF THE NORTHAMPTON STATE 
HOSPITAL. 



[There are two bills of fare, the first of which is supplied to the tables of about 
three hundred persons and the second to the remainder. In addition to these, 
about 190 quarts of egg and milk are taken through the wards between meals 
and at bed time and distributed to the old, the feeble and the convalescent 
cases.] 



BILL OF FARE No. 1. 
Breakfast. 

Monday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes, 
corn cake, bread and butter. 

Tuesday. — Tea, coffee, oatmeal, fried tripe, potatoes, warm rolls, sau- 
sage in winter, bread and butter. 

Wednesday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes, 
warm brown (rye or Indian) bread. 

Thursday. — Tea, coffee, oatmeal, broiled beefsteak, potatoes, warm 
rolls, bread and butter. 

Friday. — Tea, coffee, oatmeal, fried tripe, potatoes, warm rolls, pork 
steak in winter, bread and butter. 

Saturday. — Tea, coffee, oatmeal, either fried fish-balls or liver, meat 
hash, hot corn cake, bread and butter. 

Sunday. — Tea, coffee, oatmeal, eggs, potatoes, bread and butter. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable, bread and 
butter, boiled rice with syrup or sugar. 

Tuesday. — Vegetable soup, roast or stewed veal or beef, roast pork in 
winter, potatoes and one other vegetable, bread and butter, corn 
meal mush. 

Wednesday. — Either roast pork or beef, potatoes and one other vege- 
table, bread and butter, berry or apple pudding, with sauce. 

Thursday. — Vegetable soup, corned beef, potatoes and one other vege- 
table, ' bread and butter, boiled suet pudding with syrup. 

1 At least three vegetables during the summer. 



1910.] PUBLIC DOCUMENT — No. 21. 17 

Friday. — Either fried or baked fresh fish, ' potatoes and one other vege- 
table, bread and butter, tapioca pudding or raisin pudding of either 
rice, bread or cracker. 

Saturday. — Baked beans, corned beef, potatoes and one other vege- 
table, pickles, bread and butter and baked bread pudding. 

Sunday. — Stewed mutton or boiled shoulders, potatoes, pickles, bread 
and butter and pies, the kind varying with the season. 

Supper. 
Monday. — Tea, bread and butter, soft gingerbread and a relish. 2 
Tuesday. — Tea, bread and butter, soft gingerbread and a relish. 2 
Wednesday. — Tea, bread and butter, pie (varying with the season), 

graham bread and cheese. 
Thursday. — Tea, bread and butter, cookies and a relish. 2 
Friday. — Tea, bread and butter, cake (the kind varying) and a relish. 2 
Saturday. — Tea, bread and butter, cookies and ginger snaps and blanc- 
mange or corn starch and sauce. Hulled corn once in two weeks. 

BILL OF FARE No. 2. 

Breakfast. 
Monday. — Coffee, oatmeal, boiled eggs, potatoes, bread and butter. 
Tuesday. — Coffee, oatmeal, cold roast beef, potatoes, bread and butter. 
Wednesday. — Coffee, oatmeal, boiled eggs, potatoes, bread and butter. 
Thursday. — Coffee, oatmeal, picked codfish cooked in milk, potatoes, 

bread and butter. 
Friday. — Coffee, oatmeal, cold corned beef, potatoes, bread and butter. 
Saturday. — Coffee, oatmeal, hash, either meat or fish, bread and butter. 
Sunday. — Coffee, oatmeal, boiled eggs, potatoes, bread and butter. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable, boiled hom- 
iny with molasses, bread and butter. 

Tuesday. — Vegetable soup, potatoes and one other vegetable, bread, 
cornmeal mush with syrup. 

Wednesday. — Boiled codfish, potatoes and one other vegetable, boiled 
hasty pudding with molasses, bread and butter. 

Thursday. — Vegetable soup, potatoes, cabbage or some other vegeta- 
. ble, boiled rice with molasses, bread and butter. 

Friday. — Boiled fresh fish, potatoes, beets or some other vegetable, 
boiled hasty pudding with molasses, bread and butter. 

Saturday. — Hot baked beans, potatoes, pickles, bread and butter, 
bread pudding. 

Sunday. — Cold corned beef, potatoes, pies, bread and butter. 

1 Substituted by stewed oysters in winter, with some kind of roasted meat for those who prefer it. 

2 This term, used for want of a better, includes dried beef, berries, baked apples, apple sauce 
and canned fruit, all of which are supplied, and each according to the season. 



IS NORTHAMPTON STATE HOSPITAL. [Dec. 



Supper. 
Monday. — Tea, bread and butter, gingerbread. 
Tuesday. — Tea, bread and butter, soft gingerbread. 
Wednesday. — Tea, bread and butter, gingerbread and some kind of 

relish. 
Thursday. — Tea, bread and butter, cookies. 
Friday. — Tea, bread and butter, soft gingerbread. 
Saturday. — Tea, bread and butter, cake, sauce. 
Sunday. — Tea, bread and butter, cookies. 

Extras. 

Hulled corn at supper on Saturdays. 

In August and September these tables are furnished with either ber- 
ries, tomatoes or baked apples as inany as five times a week. 

In eight halls, sauce of either fresh or dried apples is furnished five 
times a week for the rest of the year. 

Extras for the Whole Household. 

All persons have roasted turkey at dinner on Thanksgiving Day and 
on Christmas, with vegetables, celery, cranberry sauce, pudding, pie 
and cider. 

From four to five barrels of green sweet corn in the ear are consumed 
in its season, daily, with the exception of Sunday. 

Strawberries, tomatoes, cucumbers and melons are furnished in liberal 
quantities in their season. 

In the spring spinach and Swiss chard are largely used as greens, and 
horse-radish as a condiment. 

Beef tea, chicken broth, mutton broth, scalded milk, oatmeal gruel, 
milk punch, oatmeal porridge, dry toast, milk toast, toast with dropped 
eggs, meat hash, beef steak, grape juice, jelly, canned fruit and fresh 
fruit for invalids and all who are not able to take the regular fare. 

Three halls have fresh fruit for dinner on Sundays, Tuesdays and 
Fridays. 



1910.1 



PUBLIC DOCUMENT — No. 21. 



19 



ARTICLES MADE IN SEWING ROOM, 



Aprons, .... 


406 


Holders, 


167 


Baseball bases, 


3 


Kimonos, 


2 


Bath robes, 


15 


Lard strainers, . 


6 


Bibs, .... 


13 


Mattress ticks, . 


110 


Blanket, ox, . 


1 


Milk cloths, 


176 


Bureau covers, 


269 


Xapkins, 


360 


Canvas hammock, 


1 


Xight gowns, long, 


46 


Caps, .... 


445 


Xight gowns, short, . 


550 


Clothes bags, . 


130 


Petticoats, . 


174 


Chemises, 


72 


Pillow cases, 


1,585 


Corset covers, 


16 


Pillow ticks, 


16 


Couch cover, 


1 


Pneumonia jackets, . 


2 


Curtains, lace, 


4 


Rugs, bound, 


77 


Curtains, sash, 


78 


Rugs, made, 


2 


Curtains, screens, . 


24 


Sheets, 


2,146 


Curtains, shades, . 


314 


Shirts, .... 


730 


Cushions covered, . 


2 


Shirt waists, 


17 


Cover for laundry extractor, 


8 


Stand covers, 


389 


Dresses 


211 


Table cloths 


117 


Dress skirts, . 


2 


Towels, 


3,388 


Dressing sacque, 


1 


Towels, roller, 


14 


Dresses for baby, . 


2 


Tray cloths, 


207 


Drawers, .... 


81 


Articles repaired, 


51,005 


Dust cloths, . 


13 







UPHOLSTERY DONE IN THE YEAR 



Hair mattresses made, new material, 14 

Hair mattresses made, old material, 516 

Hair mattresses made, old hair, new ticks, 97 

Hair pillows made, new material. 45 

Hair pillows made, old material, 60 

Chairs caned, 37 



20 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



PRESERVING DONE IN KITCHEN DEPART- 
MENT. 



Blueberries, quarts, 
Cherries, quarts, 
Citron, quarts, . 
Currant jam, quarts, 
Currant and raspberry jam, 
Gooseberry jam, quarts, 
Grape juice, quarts, 
Pears, quarts, . 
Quince, quarts, 
Raspberries, quarts, 
Rhubarb, quarts 
Strawberries, quarts, 
Cucumber pickles, barrels, 
Cucumber pickles, gallons, 
Pepper hash, quarts, 



50 
49 
56 
50 
13 
50 
56 
25 
26 
43 
152 
156 
3 
20 
20 



Tomatoes, quarts, 
Tomato chow-chow, quarts, 
Tomato sweet pickles, quarts 
Tomato ketchup, quarts, 
Apple jelly, glasses, 
Barberry jelly, glasses, . 
Currant jelly, glasses, 
Currant jelly, quarts, 
Gooseberry jelly, glasses, 
Grape jelly, glasses, 
Grape marmalade, quarts, 
Mint jelly, glasses, . 
Quince jelly, glasses, 
Raspberry jelly, glasses, 



205 

100 

42 

90 

20 

10 

140 

14 

5 

60 

28 

14 

16 

28 



1910. 



PUBLIC DOCUMENT — No. 21. 



21 



OFFICERS AND EMPLOYEES. 

[Time employed, Nov. 30, 1910.] 



Names. 




Months. 



Days. 



John A. Houston, M.D., superintendent, 
Harriet M. Wiley, M.D., assistant physician, 
Charles H. Dean, M.D., assistant physician, . 
Edward W. Whitney, M.D., assistant physician, 
C. Stanley Raymond, M.D., assistant physician, 
Mabel C. Cruttenden, M.D., assistant physician, 
Lewis F. Babbitt, treasurer, .... 
Burton G. Fiske, supervisor, .... 
Alice E. Bedell, superintendent of nurses, 

Susan E. Warren, matron, 

Martha G. Jones, secretary to superintendent, 
Carl W. Hammond, farmer, .... 
William J. Moore, assistant steward, 
Ord Thomas, assistant steward, 
Rachel C. Packard, stenographer, 
Susan E. Norton, clothes marker, 

Jay E. Cook, baker, 

Leon E. Bruce, assistant baker, 

George W. Thorniley, florist, .... 

Waverley D. Packard, engineer, 

Thomas Butterworth, assistant engineer, 

William C. Day, assistant engineer, . 

Gottlieb Beer, fireman, 

Isaac Fisk, fireman, 

Earl Kron, fireman, . . . . . 

Francis A. Pond, fireman, 

Grover Wentzel, fireman, 

Helfrid N. Fiske, seamstress, .... 
Addie M. Woods, assistant seamstress, . 
Charles E. Williams, laundryman, 
Margaret E. Colton, laundress, .... 

Nora Day, laundress, 

Katherine McGrath, laundress, .... 

Ellen Moore, laundress, 

Addie J. West, laundress, 

Rose Duprey, usher, 

Jennie Ryan, usher, 

Harriet E. Briggs, housemaid, .... 
Kate Flaherty, housemaid, .... 

Mabel Tacy, housemaid, 

Sara Thomas, housemaid, 



21 

10 

10 

5 

4 

1 

19 

7 

8 

16 

17 

14 
1 
1 
2 

11 
5 

17 
3 
3 

12 
3 
1 
3 
2 
1 
4 

13 



5 

4 

10 

7 
2 
6 
9 
5 
5 
2 
8 
7 
3 

8 
2 



22 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Names. 


Years. 


Months. 


Days. 


Mary E. Shea, center dining room, .... 


3 


6 


3 


Stella Bock, kitchenmaid, . 








- 


4 


5 


Helen Flaherty, kitchenmaid, 










2 


1 


2 


Agnes Gotski, kitchenmaid, 










- 


7 


18 


Nellie McGrath, kitchenmaid, 










3 


7 


- 


Tessy Pvorcan, kitchenmaid, 










- 


- 


26 


James Ruddy, kitchen, 










3 


1 


26 


Josie Hurd, cook, . 












1 


5 


10 


Mary Minihan, cook, . 












1 


2 


29 


Harry W. Love, watchman, 












6 


11 


22 


Fred D. Aldrich, nurse, 












10 


11 


18 


Alexander Beaton, nurse, 












5 


4 


14 


George Begor, nurse, . 












3 


2 


9 


John J. Bradley, nurse, 












2 


6 


18 


Robert J. Courtney, nurse, 












2 


7 


27 


N. D. Crosby, nurse, . 














11 


21 


Willard P. Crowe, nurse, 












- 


5 


18 


Peter Dufresne, nurse, 












1 


2 


3 


Michael Dunn, nurse, . 












- 


2 


2 


Edward E. D}^er, nurse, 












- 


10 


14 


John E. Green, nurse, . 












- 


6 


2 


Axel Gustafson, nurse, 












- 


6 


30 


John Harkness, nurse, 












- 


1 


15 


John Jennings, nurse, . 












- 


1 


24 


Arthur Joslyn, nurse, . 












4 


1 


27 


Chester Kenney, nurse, 












2 


3 


12 


Samuel H. Lynas, nurse, 












1 


1 


19 


Thomas J. Lynas, nurse, 












- 


3 


1 


Wm. F. McNulla, nurse, 












- 


6 


29 


Michael McCaffrey, nurse, 












1 


1 


13 


Alex McClean, nurse, . 












- 


3 


1 


Wm. McKee, nurse, 












- 


1 


18 


Hubert McNierney, nurse, 












1 


2 


2 


James Moore, nurse, . 












3 


1 


27 


Alfred E. Owen, nurse, 












1 





12 


Chas. M. Pease, nurse, 












4 


6 


6 


Chas. Percy, nurse, 












2 


11 


15 


Peter W. Roberts, nurse, 












- 


3 


6 


William H. Rogers, nurse, 












- 


6 


28 


Harold P. Shorey, nurse, 












1 


7' 


2 


Harry Weymouth, nurse, 














9 


2 


William B. Mack, nurse, 












- 


- 


24 


Joseph Gardner, nurse, 












- 


- 


2 i 


George Avery, nurse, . 












- 


- 


\l 


Harold E. Mason, nurse, 












- 


- 


16 


Goldie Bickford, nurse, 












2 


2 




Euphemia Boyd, nurse, 












- 


5 


15 


Jeanie Boyd, nurse, 












- 


1 


2 


N. Mertie Bradley, nurse, 












- 





20 


Mabel Dean, nurse, 












3 


6 


7 


Lulu Drew, nurse, 












3 


2 


12 



1910.1 



PUBLIC DOCUMENT — No. 21. 



23 



Nam i 



Years. 



Months. 



Blanche Dunnick, nurse, 
Lulu Dyer, nurse, 
Vera G. Dyer, nurse, . 
Agnes Farrington, nurse, 
Isobel Ferguson, nurse, 
Margaret Hopkin, nurse, 
R. Ethel Hunter, nurse, 
Annie M. Keating, nurse, . 
Margaret Kelly, nurse, 
Lillian Love, nurse, 
Elizabeth MacNeil, nurse, . 
Effie Mahy, nurse, 
Evelyn Manning, nurse, 
Katherine McDonald, nurse, 
Alice McNierney, nurse, 
Kathryn McNierney, nurse, 
Mrs. Wm. H. Rogers, nurse, 
Mary Ryan, nurse, 
Lillie Scholz, nurse, 
Edna E. Shorey, nurse, 
Annie Smith, nurse, 
Blanche Smith, nurse, . 
Emily Stewart, nurse, . 
Margaret Tobin, nurse, 
N. Eulalie Turner, nurse, 
Catherine M. Waters, nurse, 
Niola Watson, nurse, . 
Florence Weymouth, nurse, 
Phoebe Wheeler, nurse, 
Ruth Wilson, nurse, 
Mrs. Mary Gardner, nurse, 
Mrs. Gertrude Avery, nurse, 
A. C. Burnett, painter, 
Thomas P. Clair, plumber, 
Albert DeGrandpre, carpenter, 
Geo. W. Gaylor, painter, 
Henry Maynard, carpenter, 
M. L. Sornborger, plumber, 
Roscoe Tobin, plumber, 
Walter M. Tower, carpenter, 
Orrin Blodgett, farmer, 
Joe Coloskie, farmer, . 
James Denny, farmer, 
Xavier Dion, farmer, . 
Joe Drozdial, farmer, . 
Michael Drozdial, farmer, . 
Thomas Drozdial, farmer, . 
Frank Hurd, farmer, . 
Martin Pvorcan, farmer, 
David Mercier, coachman, . 
Charles Nutting, farmer, 



- 


10 


- 


8 


- 


10 


1 


3 


2 


3 


- 


1 


- 


3 


- 


3 


2 


7 


5 


8 


- 


2 


6 


4 


2 


4 


- 


7 


1 


5 


- 


5 


- 


6 


1 


6 


1 


1 


1 


7 


3 


11 


3 


2 


6 


- 


1 


9 


1 


3 


- 


9 


3 


9 


- 


9 


4 


5 


1 


2 


4 


6 


12 


7 


5 


10 


- 


10 


2 


5 


7 


- 


8 


- 


32 


10 


4 


4 


- 


5 


2 


1 


17 


5 


- 


5 


1 


7 


6 


- 


1 


5 


- 


8 


33 


9 


- 


2 



24 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Names. 



Years. 



Months. 



Days. 



H. Ohrstrom, gardener, 
Frank Sanborn, farmer, 
Frank Smith, farmer, . 
Jerry Sullivan, farmer, 
Steve Stepno, farmer, . 
Walter Streeter, herdsman, 
Mike Sygmont, farmer, 
Alex G. Wylie, gardener, 
Rufus Miner, farmer, . 



5 

6 
5 
7 
6 
3 
6 
11 
7 



25 
22 
12 

18 

7 

1 

17 

27 



1910. 



PUBLIC DOCUMENT — Xo. 21. 



25 



LIST OF PERSONS REGULARLY EMPLOYED 

AT THE NORTHAMPTON STATE 

HOSPITAL. 



Superintendent and physician (per year), 

Assistant physician (per year), 

Assistant physician (per year), 

Assistant physician (per year), 

Assistant physician (per year), 

Assistant physician (per year), 

Treasurer and clerk (per year), 

Engineer, with house rent (per year), 

Farmer, with house rent (per month), 

Florist, without board (per year), 

Matron (per month), .... 

Supervisor (per month), 

Superintendent of nurses (per month), 

Assistant superintendent of nurses (per month), 

Assistant to superintendent of nurses (per month), 

Secretary to superintendent (per month), 

Stenographer (per month), . 

Seamstress (per month), 

Assistant seamstress (per month) 

Laundryman (per month), . 

Laundresses (5) (per month), 

Baker (per month), 

Assistant baker (per month), 

Steward, with partial board (per month), 

Assistant steward (per month), 

Assistant steward (per month), 

Nurses (men, 40) (per month), 

Xurses (women, 40) (per month) , 

Ushers (2) (per month), 

Housemaids (4) (per month), 





$3,000 00 




1,300 00 




1,100 00 




1,000 00 




900 00 




500 00 




1,800 00 




1,100 00 




80 00 




700 00 




40 00 




55 00 




50 00 




45 00 




40 00 




40 00 




25 00 




25 00 




20 00 




50 00 


$17 


00 to 22 00 




60 00 




40 00 




62 50 




50 00 




50 00 


$25 00 to 35 00 


21 00 to 30 00 


18 00 




18 00 



26 NORTHAMPTON STATE HOSPITAL. [Dec. 

Waitresses (1) (per month), SI 8 00 

Cooks (2) (per month), $25 00 to 30 00 

Kitchen girls (5) (per month), '. 16 00 to 18 00 

Clothes marker (per month), 20 00 

Painter, with house rent (per day), 2 50 

Painter (per day), 2 50 

Assistant engineers (2) (per month), $51 00 to 60 00 

Firemen (5) (per month), 33 00 to 44 00 

Coachman (per month), 42 50 

Farm laborers (10) (per month), $25 00 to 40 00 

Herdsman (per month), 37 50 

Gardeners (2) (per month), $50 00 to 55 00 

Watchman (per month), 40 00 

Kitchen helper (per month), 29 00 

Carpenter (per day), 2 75 

Carpenter (per day), 2 75 

Carpenter (per day), 2 50 

Plumber, with house rent (per year), 1,000 00 

Plumber, with house rent (per month), 55 00 

Plumber (per day), 2 25 



1910/ 



PUBLIC DOCUMENT — Xo. 21. 



27 



FARM PRODUCTS. 



Apples, 309 barrels, 
Asparagus, 6 boxes, 
Beans, lima, improved, 52 bushels 
Beans, shell, 44 bushels, 
Beans, wax string, 45 bushels, 
Beef, cow, 13,170 pounds, 
Beef, steer, 29,652 pounds, . 
Beets, greens, 16^ bushels, . 
Beets, table, 251 bushels, 
Blackberries, 8 quarts, . 
Broom brush, 4,675 pounds, 
Broom brush seed, 85 bushels, 
Brussels sprouts, 184 quarts, 
Cabbage, 40 tons, . 
Carrots, 28 bushels, 
Cauliflower, 114 heads 
Celery, 230 boxes, . 
Cherries, 128 quarts, 
Chickens, broilers, 385 pounds, 
Chickens, roasters, 262 pounds, 
Cider, 410 gallons, . 
Citron, 36 crates, . 
Corn fodder, 111 tons, . 
Corn, green, 957 bushels, 
Corn, shelled, 810 bushels, . 
Cucumbers, 125 boxes, . 
Cucumbers, pickles, 20 bushels, 
Currants, 1,287 quarts, . 
Eggs, 1,682^ dozen, 
Ensilage, 500 tons, 
Fowl, 850 pounds, . 
Gooseberries, 408 quarts, 
Grapes, 433 pounds, 
Hay, 423.42 tons, . 
Ice, 720.56 tons, 
Lettuce, doghead, 112 boxes, 

Amount carried forward, 



$927 00 
27 00 
78 00 
55 00 



33 75 


921 90 

2,965 20 

5 78 


150 60 

80 


374 00 
42 50 


20 24 


400 00 


16 80 


11 40 


230 00 
12 80 


107 80 
62 88 


41 00 
63 00 


555 00 
717 75 


607 50 

187 50 


60 00 

141 57 

504 75 

2,500 00 

153 00 


44 88 

12 99 

8,889 00 

2,161 70 

84 00 


$23,167 09 



28 



NORTHAMPTON STATE 



Amount brought forward, 



Lumber, 15,500 feet, 
Melons, musk, 88 crates, 
Melons, water, 1,925, 
Milk, 243,116 quarts, 
Onions, 33 bushels, 
Parsley, 2\ bushels, 
Parsnips, 348 bushels, 
Peaches, 11 baskets, 
Pears, 26 bushels, . 
Pease, 106 bushels, 
Peppers, 1^ bushels, 
Pigs, roast, 2, . 
Plums, 3 baskets, . 
Pork, 55,718 pounds, 
Posts, fence, 128, . 
Potatoes, 2,046 bushels, 
Potatoes, sweet, 1 barrel, 
Pumpkins, 2,640 pounds, 
Quince, If bushels, 
Radishes, hothouse, 637 dozen bunches 
Raspberries, 64 quarts, . 
Rhubarb, 10,024 pounds, 
Spinach, 447 bushels, 
Squash, summer, 22 barrels, 
Squash, winter, 18 tons, 
Strawberries, 5,855 quarts, 
Tomatoes, ripe, 257 bushels, 
Tomatoes, green, 30 bushels, 
Turnips, 200 barrels, 
Wood, 47 cords, 
Total, 



. $23,167 09 


434 00 


154 00 


288 75 


14,586 96 


28 05 


1 25 


348 00 


11 00 


45 50 


106 00 


1 13 


9 00 


90 


5,571 80 


32 00 


1,432 20 


2 50 


79 20 


3 00 


159 25 


12 80 


200 48 


178 80 


22 00 


540 00 


585 50 


188 25 


15 00 


250 00 


211 50 



[Deo. 



$48,665 91 



Sales: — 

Calves, $426 65 

Hay, ¥ . . 225 59 

Hides, \ . 527 74 

Ice, 13 30 

Pigs, 526 91 

Sundries, 31 75 

Total, 1,751 94 

Total farm product, $50,417 85 



1910. 1 



PUBLIC DOCUMENT — No. 21. 



29 



Live stock belonging to the hospital: 
Bulls, 3, . 
Cows, 66, 
Fowls, 499, 
Heifers, 47, 
Hogs, 425, 
Horses, 17, 
Oxen, 18, . 

Total, 



$500 00 


4,950 00 


499 00 


1,380 00 


3,045 00 


3,175 00 


1,800 00 


$15,349 00 



30 NORTHAMPTON STATE HOSPITAL. [Dec. 



VALUATION 



Real Estate. 

Grounds and building sites, 23 acres, . . . 84,861 20 

Woodland, 93 acres, 19,655 55 

Mowing, 110 acres, 23,248 50 

Pasturage, 185 acres, 39,099 75 

Tillage, 100 acres, 21,135 00 

Hospital building, 616,619 00 

Farmhouse, 1,500 00 

Brick house, 1,700 00 

Three dwellings, 5,500 00 

Cold storage, 30,000 00 

Two barns, 5,500 00 

Cow stable, 13,000 00 

Horse stable, 6,000 00 

Piggery,. 3,000 00 

Lumber shed, 850 00 

Cart shed, 400 00 

Pump house, 400 00 

Ice house, 800 00 

Paint shop, 2,039 00 

Total real estate, 8795,308 00 

Personal Estate. 

Provisions and groceries, 89,290 94 

Clothing and clothing material, .... 3,437 26 

Furnishings, 36,582 58 

Fuel, 4,313 36 

Machinery and mechanical fixtures, . . . 21,138 37 

Live stock on the farm, 15,349 00 

Produce of the farm on hand, .... 14,198 97 

Carriages and agricultural implements, . . 5,547 21 

Miscellaneous, 3,740 96 

L^nexpended balance of maintenance appropria- 
tion, 34,494 83 



Amounts carried forward, .... 8148,093488795,30800 



1910.] PUBLIC DOCUMENT — Xo. 21. 31 

Amounts brought forward, .... §148,093 48 8795,308 00 

Unexpended balance of special appropriation 

(non-revertible), 

Accounts receivable, 

Cash on hand : — 

Office, 

Bank, 

Patients' money, 

Endowments, etc., 

Total personal estate, . 8960,543 52 

Accounts Payable. 

Maintenance, 812,707 97 

Special, 80 00 

812,887 97 

Trust funds : — 

Patients" money, 81,771 73 

Endowments, 677 61 

2,349 34 

Excess of resources over liabilities, 945,306 21 



86 84 








12,284 69 








764 98 








1,556 19 








1,771 73 








677 61 










165 


235 


52 





8960,543 52 



Current expenses, 8171,313 14 

Average number of patients, 847 

Average weekly cost, 83 87 

Statement of Funds. 
Patients' Funds. 

On hand, Nov. 30, 1909, 81,384 59 

Receipts, 1,675 17 



83,059 76 

Refunded, 1,288 03 



Balance on hand Nov. 30, 1910, 81,77173 

Fred B. Kelly Fund. 

Balance Nov. 30, 1909, 8652 92 

Income, 24 69 



Balance on hand Nov. 30, 1910, 1677 61 



32 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



TREASURER'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I respectfully submit the following report of the finances of 
this institution for the fiscal year ending Nov. 30, 1910: — 



Balance Dec. 1, 1909, 



Cash Account. 



$1,068 64 



Institution Receipts. 
Board of inmates: — 
Private, 
Reimbursements, 



Receipts. 



$33,664 53 
14,799 16 



Sales: — 




Food, 


$249 90 


Clothing and materials, 


245 83 


Miscellaneous, 


445 97 


Farm, stable and grounds: — 




Cows and calves, 


$426 65 


Pigs and hogs, 


526 91 


Hides, 


527 74 


Ice, .... 


13 30 


Vegetables, 


1 25 


Sundries, 


291 20 


Miscellaneous receipts: — 




Interest on bank balances 


$136 75 


Sundries, 


60 00 



Receipts from Treasury of Commonwealth. 
Maintenance appropriations: — 

Balance of 1909, 

Advance money (amount on hand November 

30), 

Approved schedules of 1910, 



Special appropriations, 
Total, . 



$48,463 69 



941 70 



1,787 05 



196 75 





51,389 19 


$8,731 46 




5,000 00 




158,505 17 






172,236 63 
787 93 






$225,482 39 



1910. 



PUBLIC DOCUMENT — No. 21. 



33 



To treasury of Commonwealth 
Maintenance appropriations: — 

Balance November schedule, 1909 
Eleven months' schedules, 1910, 
November advances, 



Payments. 
institution receipts, 



$51,389 19 

9,800 10 

158,505 17 

2,678 83 



Special appropriations: — 

Approved schedules (less advances of November, 1909), 

Balance, November 30, 1910: — 

In bank, $1,556 19 

In office, ....... 764 98 



$222,373 29 



•87 93 



{,321 17 



Total, 



$225,482 39 



Maintenance. 



Appropriation, . 

Expenses (as analyzed below) , 



Balance reverting to treasury of Commonwealth, 



$193,000 00 
171,313 14 

$21,686 86 



Analysis 


of Expenses. 




Salaries, wages and labor: — 




General administration, . $17,882 42 




Medical service, . 








7,800 00 




Ward service (male), . 








12,163 47 




Ward service (female), 








11,327 44 




Repairs and improvements, . 








6,127 34 




Farm, stable and grounds, 








8,874 17 








$64,174 84 




Food: — 




Butter, .... . $8,928 70 




Butterine, . 








85 52 




Beans, 








466 56 




Bread and crackers, 








749 19 




Cereals, rice, meal, etc., 








1,126 20 




Cheese, 








285 52 




Eggs, 








8,029 08 




Flour, 








5,898 69 




Fish, .... 








2,543 36 




Fruit (dried and fresh), 








1,714 12 




Meats, 








6,957 54 




Milk, 








118 50 




Molasses and syrup, 








414 46 




Sugar, 








3,291 89 




Tea, coffee, broma and cocoa 








1,710 58 




Vegetables, 








1,305 05 




Sundries, 








1,280 01 








46,904 97 




Amount carried forward, ....... 


$111,079 81 



34 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Amount brought forward, 



$111,079 81 



Clothing and materials: — 
Boots, shoes and rubbers, 

Clothing, 

Dry goods for clothing and small wares, 

Furnishing goods, 

Hats and caps, .... 

Leather and shoe findings, 

Sundries, ..... 

Furnishings : — 

Beds, bedding, table linen, etc., 

Brushes, brooms, 

Carpets, rugs, etc., 

Crockery, glassware, cutlery, etc., 

Furniture and upholstery, 

Kitchen furnishings, 

Sundries, ..... 



Heat, light and power 
Coal, 

Freight on coal 
Electricity, 
Gas, . 
Oil, . 
Sundries, 



Repairs and improvements: — 
Brick, .... 

Cement, lime and plaster, 
Doors, sashes, etc., 
Electrical work and supplies, 
Hardware, .... 
Lumber, .... 
Machinery, etc., . 
Paints, oil, glass, etc., . 
Plumbing, steam fitting and supplies, 
Roofing and materials, 
Sundries, 

Farm, stable and grounds: — 
Blacksmith and supplies, 
Carriages, wagons, etc., and repairs, 
Fertilizers, vines, seeds, etc., 
Hay, grain, etc., . 
Harnesses and repairs, 
Horses, 
Cows, 

Other live stock, 
Rent, 

Tools, farm machines, etc., 
Sundries, 



$694 00 

1,250 58 

1,414 94 

299 63 

103 23 

93 90 

12 74 



$2,447 64 
206 31 
568 73 
367 88 
240 58 
40 49 
832 45 



$8,547 41 

4,737 23 

22 08 

112 15 

126 08 

650 23 



$35 00 

484 78 

172 35 

563 35 

1,043 36 

1,218 01 

765 19 

2,381 92 

1,639 11 

200 27 

817 62 



$485 83 
102 15 

2,352 45 

9,938 74 
236 14 
350 00 

1,330 51 

730 50 

87 00 

535 43 

949 71 



3,869 02 



4,703 48 



14,195 18 



9,320 96 



17,098 46 



A mount carried forward, 



$160,266 91 



1910. 



PUBLIC DOCUMENT — No. 21. 



35 



Amount brought forward, 

Miscellaneous: — 

Books, periodicals, etc., 

Chapel services and entertainments, 

Freight, expressage and transportation, 

Funeral expenses, 

Medicines and hospital supplies, . 

Medical attendance, nurses, etc. (extra) 

Postage, ..... 

Printing and printing supplies, 

Printing annual report, 

Return of runaways, 

Soap and laundry supplies, . 

Stationery and office supplies, 

Travel and expenses (officials), 

Telephone and telegraph, 

Tobacco, ..... 

Water, 

Sundries, ..... 



Total expenses for maintenance, 

Special Appropriations 
Balance Dec. 1, 1909, 

Total, 

Expended during the year (see statement annexed), 
Reverting to treasury of Commonwealth, 



Balance Nov. 30, 1910, 





8160,266 91 


$211 30 




882 50 




257 66 




27 00 




830 55 




823 22 




181 58 




124 77 




167 53 




39 82 




1,429 96 




701 10 




652 67 




156 63 




1,083 50 




2,728 12 




748 32 






11,046 23 






$171,313 14 




$1,402 61 




$1,402 61 


$787 93 




527 84 






1,315 77 

$86 84 





Resources and Liabilities. 
Resources. 

Cash on hand, $2,321 17 

November cash vouchers (paid from advance 

money), 2,678 83 

Due from treasury of Commonwealth, account No- 
vember, 1910, schedule, 7,807 97 



Liabilities. 



Schedule of November bills, 



$12,807 97 
$12,807 97 



36 



NORTHAMPTON STATE HOSPITAL. [Dec. 1910. 



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STATISTICAL TABLES 



[Form prescribed by State Board of Insanity.] 



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40 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



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1910.] 



PUBLIC DOCUMENT — No. 21. 



41 



— Insane received on First and Subsequent Commitments. 



NUMBER OF COMMITMENTS. 



Cases committed. 



Males. 



Females. 



Totals. 



First to this hospital 

Second to this hospital, 

Third to this hospital, .... 

Fourth to this hospital, 

Fifth to this hospital, .... 

Sixth to this hospital 

Eighth to this hospital, 

Total cases, 

Total persons, 

Never before in any hospital for insane, 



151 

17 
3 

1 



173 
172 
142 



129 
20 



158 
157 
122 



280 

37 

9 

1 
1 

2 

1 



331 
329 

264 



Nativity and Parentage of Insane Persons first admitted to Any 
Hospital. 













Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


to 


E 


S 


00 


i 


a 


o5 


s 


i 




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A 


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Ph 


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a 


pH 


pq 


a 


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fa 


§ 


Massachusetts, .... 


53 


20 


21 


47 


25 


27 


100 


45 


48 


Other New England States, . 


16 


13 


18 


14 


13 


14 


30 


26 


32 


Other States 


12 


11 


11 


8 


7 


8 


20 


18 


19 


Total native, .... 


81 


44 


50 


69 


45 


49 


150 


89 


99 


Other countries: — 




















Austria, 


1 


1 


1 


2 


2 


2 


3 


3 


3 


Bermuda, 








- 


- 


- 


- 


- 


1 


- 


- 


1 


Canada, . 








20 


23 


22 


9 


12 


10 


29 


35 


32 


China, 








2 


2 


2 


- 


- 


- 


2 


2 


2 


England, . 








1 


6 


4 


3 


5 


3 


4 


11 


7 


France, 








1 


1 


1 


2 


2 


2 


3 


3 


3 


Germany, 








5 


8 


7 


4 


6 


6 


9 


14 


13 


Hungary, 








1 


1 


1 


- 


- 


- 


1 


1 


1 


Ireland, 








14 


38 


37 


22 


38 


37 


36 


76 


74 


Italy, 










3 


3 


3 


- 


- 


- 


3 


3 


3 


Poland, 










1 


1 


1 


3 


3 


3 


4 


4 


4 


Russia, 










10 


11 


11 


3 


3 


3 


13 


14 


14 


Scotland, 










1 


1 


1 


1 


2 


2 


2 


3 


3 


Sweden, 










- 


- 


- 


3 


3 


3 


3 


3 


3 


Syria, 










1 


1 


1 


- 


- 


- 


1 


1 


1 


At sea, 










- 


- 


- 


1 


- 


- 


1 


- 


- 


Total foreign, 


61 


97 


92 


53 


76 


72 


114 


173 


164 


Unknown, 








- 


1 


- 


- 


1 


1 


- 


2 


1 


Totals 










142 


142 


142 


122 


122 


122 


264 


264 


264 



42 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



4. — Residence of Insane Persons admitted from the Community. 











First admitted 

to Any 

Hospital. 


All Other 
Admissions. 


Totals. 




i 


M 

s 


JO 

eg 


to 


i 

I 


J2 


03 

-2 


J 

6 




1 


Hampshire County, 
Hampden County, 
Franklin County, 
Berkshire County, 
Middlesex County, 
Worcester County, 








26 
70 
10 
35 
1 


29 

60 

9 

22 
1 
1 


55 

130 

19 

57 

2 

1 


6 
17 

7 


7 
14 
5 
9 


13 

31 

5 

16 


32 
87 
10 
42 

1 


36 
74 
14 
31 

1 


68 
161 
24 
73 
2 


Totals, 
Unknown, 


142 


122 


264 


30 


35 


65 


172 


157 


329 


Totals, 
Cities and towns, 
Country districts, 


142 
117 
25 


122 
92 
30 


264 

209 

55 


30 

24 

6 


35 

28 
7 


65 
52 
13 


172 

141 
31 


157 
120 
37 


329 

261 

68 


Totals, 


142 


122 


264 


30 


35 


65 


172 


157 


329 



5. — Civil Condition of Insane Persons first admitted to Any Hospital. 



Males. 


Females. 


Totals. 


Unmarried, . 


70 


40 


110 


Married, 


50 


53 


103 


Widowed, 


21 


24 


45 


Divorced, 


1 


5 


6 


Unknown, 


- 


- 


- 


Totals 


142 


122 


264 



1910. 



PUBLIC DOCUMENT — No. 21. 



43 



6. — Occupation of Insane Persons first admitted to Any Hospital. 



Males. 


Bakers, .... 


2 


Painters, 6 


Bartenders, 


2 


Peddler, . 






1 


Basket maker, . 


1 


Photographer, . 






1 


Blacksmiths, 


3 


Physicians, 






3 


Bookkeeper, 


1 


Plumber, . 






1 


Brewer, .... 


1 


Quarryman, 






1 


Cabinet maker, 


1 


Rag picker, 






1 


Carpenters, 


4 


Railroad brakeman, 






1 


Coachmen, 


2 


Salesmen, . 






2 


Dentist, .... 


1 


Saloon keepers, 






3 


Electrician, 


1 


Shoemakers, 






5 


Farmers, .... 


5 


Stationary fireman, 






1 


Farm laborers, . 


6 


Stone mason, . 






1 


Fire department employee, 


1 


Students, . 






4 


Hod carriers, 


2 


Teamsters, 






2 


Hostler, .... 


1 


Tobacco sorter, 






1 


Jockeys, .... 


2 


Waiter, 






1 


Laborers, .... 


27 


Watchman, 






1 


Liveryman, 


1 


Whip maker, 






1 


Machinists, 


5 


Wood choppers, 






2 


Mechanics, 


4 


No occupation, 






10 


Metal polishers, 


2 




Music teacher, . 


1 


Total, .... 142 


Operatives, 


17 




Females. 


Canvassers, 


2 


Nurse, 


Clerk, .... 


1 


Operatives, 






27 


Companion, 


1 


Student, 






1 


Cooks, .... 


2 


Undertaker, 






1 


Domestics, 


10 


No occupation, 






8 


Dressmaker, 


1 




Housekeepers, . 


21 


Total, .... 77 


Masseuse, .... 


1 






Wife 


OF — 


Baker, .... 


2 


Motorman, .... 


Clerk, .... 


1 


Operative, 








11 


Engineer, .... 


1 


Painter, 










Farmer, .... 


7 


Peddler, . 










Gardener, .... 


1 


Police officer, 










Groceryman, 


1 


Printer, 










Laborer, : 


8 


Steamfitter, 










Letter carrier, . 


1 


Superintendent of buildings, 




Machinist, 


4 




Mechanic, .... 


1 


Total, .... 45 



44 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 







1 


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PUBLIC DOCUMENT — No. 21. 



45 



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Arteriosclerosis, . 
( crebral hemorrhage, 
Congenital deficiency, 
Death of child, . 
Drugs, .... 

Epilepsy 

Heredity 

Heredity and intemperance, 
Heredity and senility, 

Illness 

Intemperance, 

Intemperance and drugs, . 

Intemperance and senility, 

Involution, .... 

Menopause, 

Pregnancy, .... 

Prolonged lactation, . 

Pucrperium, 

Senility 

Sun stroke, .... 
Syphilis, .... 

Trauma of head, 
Unknown 



46 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



9. — Probable Duration of Mental Disease before Admission. 













First admitted to Any Hospital. 


PREVIOUS DURATION. 


Males. 


Females. 


Totals. 


Congenital, . 










15 


5 


20 


Under 1 month, . 










37 


17 


54 


From 1 to 3 months, 










34 


15 


49 


3 to 6 months, 










8 


20 


28 


6 to 12 months, 










15 


14 


29 


1 to 2 years, 










13 


7 


20 


2 to 5 years, 










13 


26 


39 


5 to 10 years, 










3 


12 


15 


10 to 20 years, 










2 


5 


7 


Over 20 years, 










1 


1 


2 


Totals, . 


141 


122 


263 


Unknown, 










1 


- 


1 


Totals, . 


142 


122 


264 


Average known duration (in years), 




4.2 


2.06 


3.1 



1910. 



PUBLIC DOCUMENT — No. 21, 



47 



•5 

e 



1 

r 



i 

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5 



Total 
and Deaths. 


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A. — First admitted to any hospital: — 

Acute alooholio insanity, 

\. mte delirium, ....... 

Chronio alcoholic insanity, ..... 

Dementia. prEBOOX, ...... 

Epilepsy 

Involution psychosis, 

Manic-depressive insanity: 
Depressed form, ...... 

Maniacal form, ....... 

Mixed form 

Mental deficiency, 

Organic brain disease, 

Organic <1 entia, 

Paranoia, ........ 

Paresis, 

Senile dement in, . 

Morphine habit, chronic, ..... 


< 



48 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 






8 . 



38 

J O H 

< « a 


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HWO 1 ^ MNN(M-Hi-(iHOO-H 


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CO CO 


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B. — Other admissions: — 

Acute alcoholic insanity, 

Chronic alcoholic insanity, 

Dementia praecox, 

Epilepsy, 

Involution psychosis 

Manic-depressive insanity: — 

Depressed form, 

Maniacal form 

Mixed form 

Organic dementia, 

Paranoia, 

Paresis, ......... 

Senile dementia, 

Morphine habit 


Total B 

Aggregate persons, 



PUBLIC DOCUMENT — No. 21. 



49 



to 

< 


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^ 


First to this hospital, 
Second to this hospital, . 
Third to this hospital, . 
Fourth to this hospital, . 
Fifth to this hospital, 
Sixth to this hospital, 
Seventh to this hospital, 


Total cases, 
Total persons, . 
First admitted to any hospita 



50 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



h 

Q 


•eiB^ox 


•H 1 «-l 1 1 1 1 W 1 1 II ||^H|| 1 | | <M | 





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1 1 1 1 1 1 1 1 1 1 II 1 1 1 1 1 1 1 1 1 1 


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1 


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- 


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I 1 1 1 1 1 1 1 . 1 II .III. 1 1 1 1 1 


1 






General diseases: — 

Carcinoma of face 

Carcinoma of liver, 

Carcinoma of pylorus, 

Diphtheria, 

Epilepsy, 

Erysipel s, 

Exhaustion from acute mania, .... 

General tuberculosis, 

Senility 

Diseases of nervous system : — 

Organic brain disease, 

Diseases of the circulatory system: — 

Arteriosclerosis, 

Cerebral hemorrhage, 

Endocarditis, 

Myocarditis 

Septic phlebitis, 

Diseases of the digestive system: — 

Enteritis, 

Diseases of the respiratory system: — 

Broncho pneumonia, 

Lobar pneumonia, 

Pulmonary tuberculosis, 

Suicide by drowning, 


.2 
"eg 

O 

h 



PUBLIC DOCUMENT — No. 21. 



51 



03 

o 
Eh 


•eiB^ox 


HHWHHNNMON COCN rtt^t^-<»<- T-H ^<^(M^H 

CO — 


00 


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CO 


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H |»|H | rHN'* | OJ | — COCM 1 — | || CM — 
CM 


«3 


is 

Q 


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1 rtt-H 1 1 1 1 | t^- | | | rtCONrH | 1 1 1 1 


CO 


•eaiBuiaj 


1 — 1 1 1 1 1 1 CO — || | HN« 1 1 1)11 


CO 


•saiBj^ 


1 .- 1 . 1 . 1- . I . .1-1- 1 . 1 . 1 


CM 


55 

a 
« 
< 


•ei^ox 


1 1 1 1 1 1 1 1 1 1 M 1 1 1 1 1 1 1 1 1 1 1 


CO 


•ea^uiaj 


1 1 1 1 1 1 1 1 1 1 "* 1 1 1 1 1 1 1 1 1 1 1 


■«*< 


•BaiBj\[ 


1 1 1 1 1 1 1 1 1 1 OS 1 1 1 1 1 1 I 1 1 1 1 


a> 




PS 

•< 


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1 1 1 1 1 1 1 — 1 1 II 1 CM— || 1 1 1 1 1 


•**< 


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1 1 1 1 1 1 1 1 1 1 II 11—11 1 till 


- 


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1 1 1 1 1 1 1 — 1 1 II 1 CM I I I | 1 1 1 1 


CO 


o5 

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lllll— llcci 1— — eo — II 1 till 


o 


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lllll— llll 1— 11—11 1 llll 


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t» 


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- 


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1 1 1 1 1 1 1 1 1 1 II lllll 1 llll 


' 






General diseases: — 

Carcinoma of face, 

Carcinoma of liver, 

Carcinoma of pylorus, 

Diphtheria, 

Epilepsy, 

Erysipelas, 

Exhaustion from acute mania, 

General tuberculosis, 

Senility, 

Diseases of nervoua system : — 

Organic brain disease 

Arteriosclerosis, 

Cerebral hemorrhage, 

Endocarditis, 

Myocarditis 

Septic phlebitis, 

Diseases of the digestive system: — 

Enteritis 

Broncho pneumonia, 

Lobar pneumonia, 

Pulmonary tuberculosis, 

Suicide by drowning, 


J2 

o 
H 



52 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



r o 



CO 

K 

o 

1 

a 

Q 

K 
H 

a 

j 
j 
■3 


< 

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w 

ft, 


•s^ox 


1 1 1 <N CO <M I I 1 


t^ 1 t^ GO 
OA 

o* 


•saiBtuaj 


1 1 1 <N <M <N 1 | | 


CO 1 CO GO 

o* 

OQ 


•sai^j^ 


1 1 1 1 i-i 1 1 1 1 


CO 
Ol 


is* 


•sib^ox 


1 1 1 1 WINN I 1 


t> 1 t>- l> 

oa 

CO 


•sajBuiaj 


1 1 1 1 WHIN | | 


CO 1 CO CO 

GO 

CO 


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PH 1 ^H 

CO 

<* 


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• s 

1 


A. — Recoveries: — 

Under 1 month, 
From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years, 


Totals, . 
Unknown, . 

Totals, . 

Average of known cases (in mon 



1910.1 



PUBLIC DOCUMENT — No. 21, 



53 



1 I 1 rH | CM rH rH T* CM 


rH | 

rH 


11 

158.9 


1 1 1 1 1 1 rH rH (M | 


Tt< 1 


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CM 

rH 


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I>- 1 


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00 


1 I 1 1 I CM 1 <M CM ^ 


OH 


11 

218.9 


1 1 1 1 1 rH | | CM rH 


T« 1 


co 

CM 


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CO ^ 


i— 1 

oa 


CO |rHCO»OrHi— l-HHCOCO 
^ rH (M 


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1> 


co ^ 


| ICOCOrH^-iCOCOCMCO 


OS I 
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O 

CM CO 

O 


CO 100 I^OOXJrHrJHCO 


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r>- oo 

r—{ 


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s ' 


OS 

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1 i-H>lOCOiOtHlOC0i-h 
1—i 


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CO 


CO*OrH00COCMCOCNCOrH 


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co b- 


1 HCOiOfNrjHOiHCCH 


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b- CO 








•-> 

CO 


B. — Died: — 

Congenital, 
Under 1 month, 
From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years, 


O & 

1 


Totals, . 
Average of known cases (in mon 



Public Document 



No. 21 



FIFTY-SIXTH ANNUAL REPORT 



OF 



THE TRUSTEES 



OF THE 



NOKTHAMPTON STATE HOSPITAL, 



FOR THB 



Yeae ending Novembeb 30, 1911. 




BOSTON: 

WRIGHT & POTTER PRINTING CO., STATE PRINTERS, 

18 Post Office Square. 

1912. 



Public Document No. 21 



FIFTY-SIXTH ANNUAL REPORT 



THE TRUSTEES 



NORTHAMPTON STATE HOSPITAL, 



Year ending November 30, 1911. 




#k BOSTON: 

WEIGHT & POTTER PRINTING CO., STATE PRINTERS, 
18 Post Office Square. 
1912. 



A*6^ 






STOW 




Approved by 
The State Board of Publication. 



NSW 

mi 
3 



CONTENTS 



PAGE 

List of Officers, 5 

Report of Trustees, 7 

Report of Superintendent, 10 

Report of Treasurer, 32 

Statistics, 1 39 



OFFICERS 



NORTHAMPTON STATE HOSPITAL. 



TRUSTEES 



CAROLINE A. YALE, 
LUKE CORCORAN, M.D., 
JOHN McQUAID, . • . 
HENRY L. WILLIAMS, Chairman, 
CHARLES S. SHATTUCK, 
JOSEPH W. STEVENS, Secretary, 
EMILY N. NEWTON, 



RESIDENT OFFICERS 



JOHN A. HOUSTON, M.D., 
CHARLES H. DEAN, M.D., 
C. STANLEY RAYMOND, M.D., 
B. ANGELA BOBER, M.D., 
ELIZA P. BRISON, M.D., 

LEWIS F. BABBITT, 
THOMAS H. BUTTERWORTH, 
CARL W. HAMMOND, . 
SUSAN E. WARREN, 



Holyoke. 

Springfield. 

Pittsfield. 

Northampton. 

Hatfield. 

Greenfield. 

Holyoke. 

Superintendent. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 
Assistant Physician. 

Clerk. 
Engineer. 
Farmer. 
Matron. 



TREASURER. 



LEWIS F. BABBITT, 



Northampton. 



Office at the Hospital. 



Stye €ommonu)caltl) of ittaesaityusette. 



TRUSTEES' REPORT. 



To His Excellency the Governor of the Commonwealth and the Honorable 

Council. 

The trustees of the Northampton State Hospital have the 
honor to present the fifty-sixth annual report of the affairs and 
management of the hospital. 

By reference to the tables of statistics appended to this report 
it will be seen that the number of patients to be cared for is gradu- 
ally increasing. The State Board of Insanity has in the past two 
years transferred 186 patients to other institutions, yet the hos- 
pital is crowded to its full capacity. We hope to keep the number 
of patients to about the present limits by transfer and by placing 
more patients in family care than has been possible heretofore, but 
before long the hospital must be enlarged by additions to its 
present group of buildings or by the erection of detached buildings 
somewhere on the grounds now a part of the institution or by the 
establishment of a colony at some distance from Northampton 
somewhere in the four western counties. A good deal of thought 
has been given to this matter but our Board has no definite plan 
to present at this time. 

The treasurer's report shows that the hospital has been operated 
economically during the fiscal year ending Nov. 30, 1911. The 
cost of maintenance was nearly $1,000 less than the appropriation 
for maintenance, though the daily average number of patients 
cared for was in excess of the number on which the estimates for 
maintenance were based. The weekly per capita cost was $3.86. 
If from this be deducted the amounts received from sales and from 
board of patients, the net per capita cost to the State would be 
$2.76. 



8 NORTHAMPTON STATE HOSPITAL. [Dec. 

The State Board of Insanity having advised us to estimate for 
the maintenance of an expected daily average of 890 patients the 
coming year, we shall ask the Legislature for the sum of $183,500 
for this purpose. This amount is based on the expenditures of 
the past three years. 

The Legislature, on July 12, 1911, made appropriations of 
$40,425 for the erection of a laundry and of $6,500 for an addition 
to our present bakery. Owing to the late date at which these 
appropriations were made the securing of bids and letting of con- 
tracts was delayed till late summer, consequently much of the 
work will have to be done in the months of the year unfavorable 
for building. However, work on the laundry building has pro- 
gressed favorably, the brick work being within two or three days 
of completion at the date of our report, and the roof is nearly 
boarded in. The foundations of the addition to the bakery have 
been laid and the building will be roofed in within two weeks. 

The hospital reserved from the contract the work of excavating 
and of grading for these two buildings and this work was done 
largely by patients, the resultant saving to the State amounting 
to nearly $1,000. 

There have been several changes in the personnel of our Board 
and of the medical staff during the year. Mr. Snow of Greenfield 
felt obliged by ill health to resign his position on our Board in 
December. Mr. Joseph W. Stevens of Greenfield was appointed 
a trustee in his place. Dr. Luke Corcoran was appointed in place 
of Dr. F. W. Chapin, who died Dec. 15, 1910. 

It is with great sorrow that we record the death of Dr. Chapin, 
who had been a member of our Board since 1898. The following 
resolutions were passed by our Board: — 

Whereas, Death has removed from us Frederick Wilcox Chapin, M.D., 
for a number of years a valued member of the Board of Trustees of the 
Northampton State Hospital, we, his friends and associates, wish to express 
and record our appreciation of his services to the institution, therefore, 

Resolved, That by the death of Dr. Chapin this hospital has sustained 
a severe loss. During the period he was a member of the Board of Trus- 
tees he gave it of his professional wisdom, of his financial discretion and 
of his personal optimism. His work among the patients was friendly and 
tender, his duties with the trustees were cheerfully and wisely fulfilled. 
He was a man of sterling worth; of upright nature; a courteous, gracious 
and loyal associate and we, the members of the Board, regret his departure 
from our comradship with a true feeling of personal bereavement. 



1911.] PUBLIC DOCUMENT — No. 21. * 9 

Drs. Whitney, Wiley and Cruttenden resigned from the medical 
staff, leaving the service in October. Later Dr. Wiley, as Mrs. 
Dr. Whitney, was reappointed to do social service work for the 
hospital as outlined in the superintendent's report. In October 
Dr. B. Angela Bober and Dr. Eliza P. Brison began service in the 
places of Drs. Wiley and Cruttenden. No one has been appointed 
to fill the position made vacant by Dr. Whitney's leaving. 

CAROLINE A. YALE. 
LUKE CORCORAN, M.D. 
JOHN McQUAID. 
HENRY L. WILLIAMS. 
CHARLES S. SHATTUCK. 
JOSEPH W. STEVENS. 
EMILY N. NEWTON. 



10 NORTHAMPTON STATE HOSPITAL. [Dec. 



SUPERINTENDENT'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I hereby submit my report of the operations of the hospital for 
the year ending Nov. 30, 1911. 

At the beginning of the statistical year, Oct. 1, 1910, there were 
855 patients in our care at the hospital. During the next twelve 
months 386 cases were admitted, making a total of 1,241 patients 
cared for during the year. Of those admitted 334 were committed 
by the courts, 22 came as voluntary patients, 4 were sent here for 
temporary care, 14 were returned from visit and 5 returned from 
escape. Of 58 out on trial visit at the beginning of this yearly 
period, 44 were nominally admitted in order to be discharged from 
our records. 

The daily average number of patients was 883, 31 more than 
ever before. This is to be accounted for, partly, by reason of a 
normal increase of patients keeping pace with the increase in 
the general population of the district served by the hospital, but 
largely because so many of the cases admitted are unfavorable for 
improvement by reason of their mental condition or because of 
old age, the number of these latter showing a steady increase year 
by year. Such patients are seldom removed except by death and 
so help to swell our daily average number under treatment. 

Massachusetts was the birthplace of less than half the number 
admitted, 42 per cent. Forty-one per cent, were of foreign birth 
and nearly two-thirds were of foreign parentage. 

Many of the cases admitted were of a character unfavorable for 
recovery; 21 were over seventy years of age and 10 were over 
eighty years of age. In 60 per cent, the insanity had existed for 
more than six months, while nearly the same proportion had a form 
of insanity from which recovery is not to be expected. 

Examination of Table 8 of the statistical tables appended to this 
report shows that the principal factors in the causation of the 



1911.] PUBLIC DOCUMENT — No. 21. 11 

insanity in the cases admitted were heredity, intemperance, old 
age and gross brain lesions. 

It is of interest to note that one case admitted was undoubtedly 
caused by pellagra, and that another patient admitted within the 
year is believed to be a case of pellagra, though we do not consider 
this the cause of her insanity. 

More patients have taken advantage this year of the law per- 
mitting voluntary commitment than in previous years. There 
were 24 voluntary admissions, with 8 such cases in the house at 
the beginning of the year. The year closed with 8 in our care. 

Three hundred and eighty-seven cases were dismissed. Of these 
28 were transferred by the State Board of Insanity to the Gardner 
State Colony, 14 to the Monson State Hospital, 19 to the Worcester 
State Asylum, 3 to the McLean Hospital and 8 to family care. 
One hundred and forty-three were discharged as follows: 39 as 
recovered, 34 as capable of self-support, 43 as improved, 19 as 
unimproved, 9 as not insane voluntary cases, 98 deaths and 73 
away on trial visit. This left 898 at the end of the year, 449 men 
and 449 women. 

The largest number of patients on any one day was 918. 

The estimated number of recoveries is very conservative, as 
many of them not called recovered by us seem as well as ever and 
conduct themselves as well as ever, in the opinion of their rela- 
tives and associates. 

Our death rate was 7.8 per cent., about the same as it was last 
year. Almost one-half of those who died were over seventy years 
of age, 15 of them being over eighty years of age. 

The Legislature of 1911 passed an act permitting the reception 
and temporary care in State hospitals of persons in need of immedi- 
ate treatment because of mental derangement. Such persons may 
be kept for a period not exceeding seven days. Before the expira- 
tion of this time they must either be discharged or be committed 
if needing further treatment. Under this act we have received 14 
patients. Our experience leads us to consider this a wise and 
humane measure, providing immediate treatment for a class of 
patients who, prior to this, have been liable to detention for a day 
or two in a jail or in other unfavorable surroundings. 

We have had t 13 patients under our supervision in family care 
during the year in addition to those placed in families by the State 



12 NORTHAMPTON STATE HOSPITAL. [Dec. 

Board of Insanity. Provision has been made whereby we hope to 
greatly increase the number so cared for. 

For a long time we have felt that our duty was not limited to 
the care of those alone who were at the hospital or elsewhere under 
our supervision. There is much that can be done by an institu- 
tion of this kind in the way of prevention and of after care. We 
have been accustomed to keep track of our patients out on trial 
visit, usually by correspondence, in some cases requesting them to 
return to the hospital for a personal interview. We have fre- 
quently advised, free of charge, persons coming to the hospital to 
consult us about the treatment of relatives or friends whose com- 
mitment was being considered, as well as others who were them- 
selves considering the advisability of coming to the hospital for 
treatment. In our report of last year was briefly suggested a line 
of work that would seem to make the hospital more useful to the 
community it serves. We have been fortunate in securing an officer 
to undertake this w T ork, Dr. Harriet M. Whitney, who in October 
resigned her position as assistant physician after nearly twelve 
years of service. Later she accepted an appointment to give us 
part of her time to do social service work. Her long training, her 
acquaintance with the individual patients here and her experience 
in visiting patients in family care have fitted her peculiarly for the 
new line of work. Her duties, which will be somewhat varied, are 
all in the line of broadening our sphere of usefulness. She will 
visit patients in family care as formerly, but will also find new 
boarding places for a much larger number of patients than we 
have heretofore been able to place out to board. She will visit 
patients away from the hospital on trial visit to learn whether they 
are doing well at home and whether their discharge or a further 
period of care at the hospital is advisable. It will be in line of her 
work to investigate home conditions of patients whose discharge is 
requested, patients who have not fully recovered, to learn whether 
their discharge can be favorably recommended. She will be sent, 
on request, to visit persons whose commitment is being considered. 
In some of these cases we have found it advisable to recommend 
commitment to the hospital with the hope of promoting an earlier 
recovery than if the patient were kept at home, while in other 
cases it has seemed best to advise home care and treatment as 
more suitable. She will visit families and neighbors of recently 



1911.] PUBLIC DOCUMENT — No. 21. 13 

committed patients to learn more about them and the cause of 
their mental breakdown than the commitment papers and the 
persons who come to the hospital with the patient can give us. It 
is possible, also, that she may be able to help discharged patients 
in securing employment, and in other ways. 

Dr. Whitney has been engaged in this work but a few weeks, 
but we already find a large field for her. 

The training school has continued successful under the same 
management as before. There have been 65 lectures by members 
of the staff and 98 recitations. Sixteen lessons in special cooking 
for invalids were given by Miss Hedges. 

The junior classes are always large, but some who begin work are 
found not fitted to go on with it, while to others the work is unat- 
tractive, consequently the graduating classes are usually small. 
This year there were 5 graduates, Misses N. Mertie Bradley, Mary 
Agnes Ryan, Alice Agnes McNierney, Goldie May Bickford and 
Mrs. Agnes Farrington. Graduating exercises were held on Oct. 
11, 1911. There are 9 graduate nurses remaining in our service. 

During the summer months there was difficulty in securing a 
desirable number of nurses, but at present we have been having 
more applications for the service, and it has been possible to have 
more women nurses on our wards for men than in previous years. 

The value of occupation as a means of treatment in mental dis- 
eases has been so long and so favorably known and so often spoken 
of in the annual reports of the State hospitals that it has seemed 
unnecessary to dwell at length on the subject, but recent legislation 
in our State relative to the matter seems to show how little appre- 
ciation is had by the public of what is being done in the State insti- 
tutions. A list of all the various forms of occupation made use 
of would surprise even those fairly well acquainted with matters 
pertaining to State hospitals. 

At the May conference of the State Board of Insanity with 
trustees of State hospitals the subject for discussion was occupa- 
tion for patients. An abstract of what was said about the work 
done at our institution may be of enough interest to warrant its 
being made a part of this report. Referring to a bill that was intro- 
duced in the Legislature compelling the management of State insti- 
tutions to train their attendants in arts and crafts it was said that 
we have been doing that sort of thing from the beginning of the 



14 NORTHAMPTON STATE HOSPITAL. [Dec. 

hospital's existence. In the report of the hospital fifty-three years 
ago this was said: "The importance of employment and amuse- 
ment as curative agencies is fully appreciated and all means at our 
disposal are freely made use of. For the men there is the farm and 
garden work, grading, fencing, etc., and for the women the ordinary 
work of the institution, household work, etc." The next year's 
report, speaking of the value of regular daily exercise says, "it 
can hardly be overestimated." In 1862 they began tying brooms, 
braiding hats and bonnets and making baskets, teaching employees 
who, in turn, taught patients. In that year they made 1,000 bas- 
kets. Next year they added the making of rugs and husk mats, 
making all the mats in use in the institution. They began then to 
make mattresses, and ever since then all the mattresses in use 
have been made by patients under the instruction of nurses. 
There have been several instances to my knowledge where both 
nurses and patients, having learned to make mattresses here, have 
taken up the same kind of work as a regular employment after 
leaving the hospital. In 1863 the annual report says the subject 
of employment " is of such importance from a hygienic view that 
it is in no danger of being lost sight of, and the importance of 
securing it will be constantly studied and availed of to as great 
an extent as possible." Of the training of nurses and attendants 
the superintendent at that time said that "ability to excite the 
interest of patients in their occupations and amusements should 
always be regarded as among the qualifications to be possessed by 
those to be in immediate charge of the inmates." Abstracts like 
these could be made from nearly every report for fifty years. 

Patients are always expected to do some kind of work, if well 
enough physically, in the care of the wards, in the different depart- 
ments, as kitchen, bakery, laundry, machine shops, engine room, 
paint shop, at the stables and barns, on the farm and about the 
grounds of the institution. Many of the patients learn work of 
various kinds here that they were unaccustomed to before coming, 
and not infrequently take up the same kind of work as a regular 
employment after leaving the hospital. Employees in charge of 
patients often have to be taught the work in order to be able to 
teach the patients, — as in making brooms and mattresses, laying 
cement walks, making baskets, etc. 

Some of the things done by us, but by no means all, are as fol- 



1911.] PUBLIC DOCUMENT — No. 21. 15 

lows: For the men the making of tinware, brooms, mattresses, 
• repairing shoes, painting, carpenter work, electric wiring, pipe fit- 
ting, lathe work, both in wood and metal, making and repairing of 
furniture, meat cutting, laying concrete walks and especially farm 
work in all its branches; for the women, besides the ordinary house- 
hold work, knitting and crocheting of mittens, slippers, stockings, 
making of rugs, basketry, dressmaking, trimming of hats and bon- 
nets, drawn work and hemstitching and the like, and of late years 
gardening, picking pease, currants and strawberries. In years 
gone by these things have been supervised by officers and nurses 
of the hospital. Now it is intended to have an instructor to take 
direction of the work outside of that connected with the regular 
operations of the hospital. 

Many repairs and changes are required every year in buildings 
so old as these, and this year has offered no exception. The neces- 
sary repairs have kept 8 men, carpenters, painters, plumbers and 
mechanics busy", with patients helping each one of them. 

A new ell was built to the house occupied by the assistant elec- 
trician, containing kitchen, pantry and bath room. 

New storerooms have been fitted in the basement and ground 
floor of the building occupied by patients who work out of doors, — 
the so-called storehouse. Here the stores are received and kept 
under the charge of a storekeeper and from here they are distrib- 
uted. Accounts are kept for everything received and disbursed, 
nothing being given out except on a signed order. 

Under the dormitory occupied by male employees three par- 
titions have been removed, thus throwing four small rooms into 
one large one. In this room several industries have been installed 
which are carried on by patients: hair picking, mattress making, 
broom making, and repairing of boots and shoes. The time will 
probably soon come when an industrial building will be required, 
where the other things done by patients, as repairing of furniture, 
cane seating of chairs, the making of our tinware, now carried on 
in separate places, can all be done in one room under the direction 
of a supervisor. 

Many yards of concrete walk have been laid since our last 
report, largely by patients' help: 750 yards in front of the store- 
house, 684 yards over the coal bunkers and along the east side of 
the boiler house, 80 yards along the west and north sides of the 



16 NORTHAMPTON STATE HOSPITAL. [Dec. 

men's dormitory, 156 yards in the walks leading to the second 
halls of the north and the south wings, 735 yards under the hay 
barn and 35 yards in the basement of the women's infirmary. 

Much excavating and grading has been done by patients, prin- 
cipally for the foundations and basements of the new laundry and 
bakery buildings and for a tunnel now being constructed to carry 
steam and water pipes and electric wires from the boiler room to 
the new laundry. 

In spite of the drought that prevailed during a large part of 
the season the farm has made a good showing in the variety and 
quantity of crops raised. The market value of these crops nearly 
equals that of last year. For those interested, a table of farm 
products raised will be found following this report. 

Considerable repair work has been done on the farm. New 
stable floors have been laid in the cow stable and new mangers 
made in the yard. About a mile and a half of fencing has been 
put in place and new houses for pigs have been built. 

About an acre on the west lot has been reclaimed. 

The entire herd of cows and calves has been regularly tested 
for tuberculosis. This practice has been continued for years, so 
that our herd is kept as free from disease as possible. 

Believing fully in the value of frequent assemblies of patients 
for divine worship, for amusement and for instruction, we have 
had many gatherings of patients during the year. Besides the 
exercises held every Lord's Day there have been readings by a 
member of the staff on forty-eight evenings; dancing on twenty- 
five evenings; card parties on eight evenings; stereopticon lec- 
tures on three evenings; musicals by patients and attendants on 
three evenings; December 24, Christmas tree; January 9, stere- 
opticon lecture by Mr. Grant; February 4, song recital, Mr. Brig- 
ham; February 20, chalk talk, Mr. Little; February 27, musical 
entertainment, Mr. Harrell; March 13, minstrel show, patients 
and attendants; March 20, readings, Mr. Taggart; March 28, 
musical, the Misses Woods; April 3, graphophone concert, Mr. 
McKean; May 8, musical, Mr. Lorraine; May 25, musical, Union 
Club of Holyoke, courtesy of Mr. Davies; September 18, readings, 
Mr. Wright; October 9, readings, Mrs. Stuart-Richings; October 
11, training school graduation; October 16, legerdemain, Mr.fEl- 
dred; October 19, readings, Mr. French; November 3, musical, 
the Misses Woods. 



1911.] PUBLIC DOCUMENT — No. 21. 17 

Grateful acknowledgment is made to the following persons for 
gifts and services, which are much appreciated by the patients: to 
Mrs. W. T. Parker, Mrs. J. L. Egbert, Mrs. J. F. Sullivan, Mrs. 
J. J. Sullivan and Mr. J. J. Murphy for gifts for the Christmas tree'; 
to Miss Dickinson for crepe paper for decorations at Christmas and 
Hallowe'en; to Mr. John McKean, Mr. Tom Davies, Mr. Eldred 
and Mr. Grant for an evening's entertainment; to Miss Vincens 
for fruit; to Mrs. Damond, Mrs. Pomeroy, Mrs. Cook, Mrs. Ross, 
Mrs. Ganong, Mrs. Graves, Mrs. Robinson, Mrs. Allison, Mrs. 
Shea, Mrs. Prentice, Misses Eastman, Miss Cable, Mr. C. B. Bar- 
ton and Mr. C. L. Lyman for magazines and papers and to the pub- 
lishers of "Christian Register," "Dumb Animals," "The Healthy 
Home Quarterly" and "New Church Journal" for regular copies 
of their publications. 

JOHN A. HOUSTON, 

Superintendent. 



18 NORTHAMPTON STATE HOSPITAL. [Dec. 



DIETARY OF THE NORTHAMPTON STATE 
HOSPITAL. 



[There are two bills of fare, the first of which is supplied to the tables of about 
three hundred persons and the second to the remainder. In addition to these, 
about 190 quarts of egg and milk are taken through the wards between meals 
and at bed time and distributed to the old, the feeble and the convalescent 
cases.] 



BILL OF FARE No. 1. 
Breakfast. 

Monday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes, 
corn cake, bread and butter. 

Tuesday. — Tea, coffee, oatmeal, fried tripe, potatoes, warm rolls, sau- 
sage in winter, bread and butter. 

Wednesday. — Tea, coffee, oatmeal, broiled beefsteak or eggs, potatoes, 
warm brown (rye or Indian) bread. 

Thursday. — Tea, coffee, oatmeal, broiled beefsteak, potatoes, warm 
rolls, bread and butter. 

Friday. — Tea,, coffee, oatmeal, fried tripe, potatoes, warm rolls, pork 
steak in winter, bread and butter. 

Saturday. — Tea, coffee, oatmeal, either fried fish balls or liver, meat 
hash, hot corn cake, bread and butter. 

Sunday. — Tea, coffee, oatmeal, eggs, potatoes, bread and butter. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable, bread and 
butter, boiled rice with syrup or sugar. 

Tuesday. — Vegetable soup, roast or stewed veal or beef, roast pork in 
winter, potatoes and one other vegetable, bread and butter, corn- 
meal mush. 

Wednesday. — Either roast pork or beef, potatoes and one other vege- 
table, bread and butter, berry or apple pudding, with sauce. 

Thursday. — Vegetable soup, corned beef, potatoes and one other vege- 
table, 1 bread and butter, boiled suet pudding with syrup. 

1 At least three vegetables during the summer. 



■1911.] PUBLIC DOCUMENT — No. 21. 19 

Friday. — Either fried or baked fresh fish, 1 potatoes and one other vege- 
table, bread and butter, tapioca pudding or raisin pudding of either 
rice, bread or cracker. 

Saturday. — Baked beans, corned beef, potatoes and one other vege- 
table, pickles, bread and butter and baked bread pudding. 

Sunday. — Stewed mutton or boiled shoulders, potatoes, pickles, bread 
and butter and pies, the kind varying with the season. 

Supper. 
Monday. — Tea, bread and butter, soft gingerbread and a relish. 2 
Tuesday. — Tea, bread and butter, soft gingerbread and a relish. 2 
Wednesday. — Tea, bread and butter, pie (varying with the season), 

graham bread and cheese. 
Thursday. — Tea, bread and butter, cookies and a relish. 2 
Friday. — Tea, bread and butter, cake (the kind varying) and a relish. 2 
Saturday. — Tea, bread and butter, cookies and ginger snaps and blanc- 
mange or corn starch and sauce. Hulled corn once in two weeks. 

BILL OF FARE No. 2. 
Breakfast. 
Monday. — Coffee, oatmeal, boiled eggs, potatoes, bread and butter. 
Tuesday. — Coffee, oatmeal, cold roast beef, potatoes, bread and butter. 
Wednesday. — Coffee, oatmeal, boiled eggs, potatoes, bread and butter. 
Thursday. — Coffee, oatmeal, picked codfish cooked in milk, potatoes, 

bread and butter. 
Friday. — Coffee, oatmeal, cold corned beef, potatoes, bread and butter. 
Saturday. — Coffee, oatmeal, hash ; either meat or fish, bread and butter. 
Sunday. — Coffee, oatmeal, boiled eggs, potatoes, bread and butter. 

Dinner. 

Monday. — Roast beef, potatoes and one other vegetable, boiled hom- 
iny with molasses, bread and butter. 

Tuesday. — Vegetable soup, potatoes and one other vegetable, bread, 
corn-meal mush with syrup. 

Wednesday. — Boiled codfish, potatoes and one other vegetable, boiled 
hasty pudding with molasses, bread and butter. 

Thursday. — Vegetable soup, potatoes, cabbage or some other vege- 
table, boiled rice with molasses, bread and butter. 

Friday. — Boiled fresh fish, potatoes, beets or some other vegetable, 
boiled hasty pudding with molasses, bread and butter. 

Saturday. — Hot baked beans, potatoes, pickles, bread and butter, 
bread pudding. 

Sunday. — Cold corned beef, potatoes, pies, bread and butter. 

1 Substituted by stewed oysters in winter ,with some kind of roasted meat for those who prefer it. 
1 This term, used for want of a better, includes dried beef, berries, baked apples, apple sauce 
and canned fruit, all of which are supplied, and each according to the season. 



20 NORTHAMPTON STATE HOSPITAL. [Dec. 



Supper. 
Monday. — Tea, bread and butter, gingerbread. 
Tuesday. — Tea, bread and butter, soft gingerbread. 
Wednesday. — Tea, bread and butter, gingerbread and some kind of 

relish. 
Thursday. — Tea, bread and butter, cookies. 
Friday. — Tea, bread and butter, soft gingerbread. 
Saturday. — Tea, bread and butter, cake, sauce. 
Sunday. — Tea, bread and butter, cookies. 

Extras. 

Hulled corn at supper on Saturdays. 

In August and September these tables are furnished with either ber- 
ries, tomatoes or baked apples as many as five times a week. 

In eight halls, sauce of either fresh or dried apples is furnished five 
times a week for the rest of the year. 

Extras for the Whole Household. 

All persons have roasted turkey at dinner on Thanksgiving Day and 
on Christmas, with vegetables, celery, cranberry sauce, pudding, pie 
and cider. 

From four to five barrels of green sweet corn in the ear are consumed 
in its season, daily, with the exception of Sunday. 

Strawberries, tomatoes, cucumbers and melons are furnished in liberal 
quantities in their season. 

In the spring spinach and Swiss chard are largely used as greens, and 
horse-radish as a condiment. 

Beef tea, chicken broth, mutton broth, scalded milk, oatmeal gruel, 
milk punch, oatmeal porridge, dry toast, milk toast, toast with dropped 
eggs, meat hash, beefsteak, grape juice, jelly, canned fruit and fresh 
fruit for invalids and all who are not able to take the regular fare. 

Three halls have fresh fruit for dinner on Sundays, Tuesdays and 
Fridays. 



1911." 



PUBLIC DOCUMENT — No. 21. 



21 



ARTICLES MADE IN SEWING ROOM. 



Aprons, .... 


478 


Lard strainers, ... 6 


Bath robes, 


12 


Mattress ticks, 




. 154 


Bread covers, 


5 


Milk cloths, . 




. 112 


Bureau covers, 


414 


Mittens, pairs, 




24 


Caps, .... 


657 


Napkins hemmed, 




144 


Caps, night, . 


24 


Nightgowns, long, 




32 


Carriage cover, 


1 


Nightgowns, short, 




698 


Carriage pockets, . 


2 


Petticoats, 




172 


Chemises, 


10 


Pillow cases, . 






. 1,302 


Clothes bags, . 


49 


Pillow ticks, . 






19 


Cambric coa^s, 


4 


Rugs bound, . 






92 


Corset covers, 


36 


Rug made, 






1 


Covers for laundry extractoi 


10 


Sheets, 






1,473 


Curtains, sash, 


78 


Shirts, 






1,712 


Curtains, screen, . 


30 


Shirt waists, . 






8 


Curtains, shade, 


159 


Stand covers, 






441 


Drawers, 


11 


Table cloths, . 






101 


Dresses, .... 


203 


Towels, . 






3,299 


Dresses for chapel, 


33 


Tray cloths, . 






150 


Dresses made over, 


12 


Trousers, pair, 






1 


Dust cloths hemmed, . 


10 


Trousers made ove 


r, 




25 


Filter cloths, . 


2 


Vests made over, 






10 


Holders, .... 


250 


Articles repaired, 






49,087 



WORK DONE IN INDUSTRIES DEPARTMENT. 



Hair mattresses made, new material, 49 

Hair mattresses made, old material, 177 

Hair mattresses made, old hair, new ticks, 65 

Hair pillows made, old material, 65 

Chairs caned, 55 

Brooms made, 83 

Whisk brooms made, ? 48 

Shoes tapped, pairs, 407 

Shoes heeled, pairs, 468 



22 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



PRESERVING DONE IN KITCHEN DEPART- 
MENT. 



Blueberries, quarts, . . 228 
Blackberry jam, quarts, . 20 
Cherries, quarts, ... 74 
Citron, quarts. ... 50 
Gooseberries, quarts, . . 20 
Peaches, quarts, . . .122 
Plums, quarts, ... 28 
Raspberries, canned, . . 40 
Raspberry jam, quarts, . .12 
Rhubarb, quarts, . . . 190 
Strawberries, quarts, . . 4 
Cucumbers, salted, barrels, . 3^ 
Cucumber sour pickles, barrels, 4 
Cucumber sweet pickles, 
quarts, 50 



Tomato sweet pickles, quarts 
Pepper hash, gallons, 
Tomatoes, quarts, . 
Tomato chow-chow, gallons, 
Tomato ketchup, bottles, 
Tomato Chili sauce, quarts, 
Apple jelly, glasses, 
Apple jelly, quarts, 
Currant jelly, glasses, 
Grape jelly, glasses, 
Raspberry jelly, glasses, 
Grape marmalade, jars, . 
Orange marmalade, jars, 
Peach butter, jars, . 



35 
10 

332 
12 
84 
65 
98 
50 

172 
64 
40 
20 
18 
7 



1911.] 



PUBLIC DOCUMENT — No. 21. 



23 



OFFICERS AND EMPLOYEES. 

[Time employed, Nov. 30, 1911.] 



Names. 



Years. 


Months. 


Days 


22 


2 


7 


11 


6 


21 


5 


5 


11 


- 


2 


2 


- 


1 


19 


20 


1 


18 


8 


1 


15 


9 


3 


20 


17 


8 


8 


18 


4 


11 


1 . 


9 


- 


15 


1 


3 


4 


2 


9 


2 


2 


9 


2 


7 


- 


3 


7 


29 


12 


9 


- 


6 


5 


4 


18 


7 


11 


4 


- 


17 


13 


7 


29 


4 


- 


Sh 


2 


8 


24 


- 


1 


12 


3 


4 


5 


2 


- 


2 


- 


1 


- 


5 


10 


19 


- 


8 


23 


1 


7 


20 


- 


- 


23 


14 


2 


29 


1 


6 


18 


3 


5 


17 


4 


1 


22 


5 


5 


2 


1 


2 


19 


- 


10 


7 


- 


1 


30 


10 


3 


22 


2 


- 


27 



John A. Houston, M.D., superintendent, 

Charles H. Dean, M.D., assistant physician, 

C. Stanley Raymond, M.D., assistant physician, 

B. Angela Bober, M.D., assistant physician, 

Eliza P. Brison, M.D., assistant physician, 

Lewis F. Babbitt, treasurer, 

Burton G. Fiske, supervisor, 

Alice E. Bedell, superintendent of nurses, 

Susan E. Warren, matron, ... 

Martha G. Jones, secretary to superintendent, 

Carl W. Hammond, farmer, 

William J. Moore, steward, 

George Begor, assistant steward, 

Ord Thomas, assistant steward, 

Rachel C. Packard, stenographer, 

Susan E. Norton, clothesmarker, 

Jay E. Cook, baker, .... 

Leon E. Bruce, assistant baker, 

George W. Thorniley, florist, 

Thomas Butterworth, engineer, 

William Day, assistant engineer, 

Gottlieb Beer, fireman, 

Isaac Fisk, assistant engineer, . 

Ernest Holmes, fireman, 

Francis Pond, assistant engineer, 

Grover Wentzel, fireman, . 

T. J. Lucier, fireman, .... 

Helfrid L. Fiske, seamstress, 

Margaret Tobin, assistant seamstress, 

Addie M. Wood, assistant seamstress, 

Celia A. Hamel, assistant seamstress, 

Charles E. Williams, laundryman, 

Margaret E. Colton, laundress, 

Katherine McGrath, laundress, 

Nellie M. McGrath, laundress, 

Ellen Moore, laundress, 

Addie J. West, laundress, . 

Emma Billings, usher, 

Frances E. Packard, usher, 

Harriet Briggs, housemaid, 

Kate Flahertv, housemaid, 



24 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Names. 



Years. Months. Days. 



Jennie Pederson, housemaid, 
Emma Kellogg, housemaid, 
Mary Watson, center dining room, 
Stella Bock, center dining room, 
Agnes Gotski, kitchen maid, 
Theresa Pvorcan, kitchen maid, 
Mary Spelmen, kitchen maid, 
Anna Thomas, kitchen maid, 
Mary Schowiecka, kitchen maid, 
Alexander Macmaster, kitchen, 
Josie Hurd, cook, . 
Stela Crianisckor, cook, 
Harry W. Love, watchman, 
Fred D. Aldrich, nurse, 
Alexander Beaton, nurse, 
George H. Blake, nurse, 
John J. Bradley, nurse, 
Chas. A. Bruce, nurse, 
George D. Bruce, nurse, 
Raymond D. Fiske, nurse, 
Porter Ford, nurse, 
William F. Gay, nurse, 
John E. Green, nurse, . 
Axel Gustafson, nurse, 
John Harkness, nurse, 
George Hartmann, nurse, 
Willard E. Hawxhurst, nurse, 
A. L. Hubby, nurse, 
Matthew Hudson, nurse, 
Robert Kinney, nurse, 
Ernest Manning, nurse, 
Charles Mayhew, nurse, 
Michael McCaffre}', nurse, 
John McNamara, nurse, 
Hubert McNierney, nurse, 
Ivor L. Morris, nurse, . 
Carl Nykuist, nurse, 
Charles M. Pease, nurse, 
A. C. Roberts, nurse, . 
Joseph Round, nurse, . 
Thomas Smart, nurse, . 
F. Smith, nurse, . 
W. I. Toothaker, nurse, 
Moise Vallancourt, nurse, 
Clyde A. Wilkins, nurse, 
Wm. A. Wood, nurse, . 
Edward Hubby, nurse, 
Geo. W. Leroy, nurse, . 
Ernest A. Martin, nurse, 
Loren F. Shaw, nurse, 
L. N. Hart, nurse, 



- 

- 



1 


4 


1 


7 


1 


- 


- 


4 


1 


1 


_ 


4 


2 


5 


- 


4 


7 


11 


11 


11 


6 


4 


- 


2 


3 


6 


- 


2 


- 


1 


- 


10 


_ 


6 


1 


6 


1 


6 


1 


7 


- 


1 


- 


6 


- 


10 


- 


6 


- 


2 


- 


2 


- 


5 


2 


2 


- 


3 


2 


2 


- 


4 


- 


8 


5 


6 


1 


7 


- 


2 


- 


8 


- 


2 


- 


7 


- 


3 


- 


1 


- 


7 



1911 



PUBLIC DOCUMENT — Xo. 21. 



zo 



Names. 


Years. 


Months. 

1 


Days. 


Timothy Feeney, nurse, 




4 


Eugene M. Tucker, nurse, 












- 




2 


Goldie Bickford, nurse, 












3 


2 


- 


Josephine M. Bowles, nurse 


? 










- 


2 


18 


Beulah L. Boynton, nurse, 












- 


10 


28 


N. Mertie Bradley, nurse, 












1 


9 


20 


Janet Campbell, nurse, 












- 


2 


5 


Cecelia Crosby, nurse, 












- 


9 


27 


Mabel Dean, nurse, 












4 


1 


18 


Lulu Dyer, nurse, 












1 


8 


30 


Charlotte Elliott, nurse, 












_ 


1 


5 


Agnes Farrington, nurse, 












2 


3 


- 


Isobel Ferguson, nurse, 












3 


3 


27 


Helen A. Foley, nurse, 












~~ 


2 


26 


Ada F. Gay, nurse, 














6 


30 


Ida E. Hall, nurse. 












- 


1 


7 


Katherine Hubbard, nurse, 












_ 


1 


29 


Lizzie A. Leach, nurse, 












J - 


1 


8 


Lillian Love, nurse, 












6 


8 


5 


Effie Mahy, nurse, 












7 


4 


24 


Grace Mayhew, nurse, 












i 


5 


3 


Helen McCarthy, nurse, 












- 


3 


18 


Katherine McDonald, nurse, 










1 


7 


4 


Mrs. A. Macmaster, nurse, 










- 


4 


19 


Kathryn McXierney, nurse, 










1 


5 


22 


Mae P. Morris, nurse, 










- 


4 


8 


Ruby Pendleton, nurse, 












- 


2 


2 


Marion Porterus, nurse, 












- 


2 


28 


Lila Pullman, nurse, 












_ 


3 


- 


Jennie M. Ryan, nurse, 












3 


7 


5 


Mary Ryan, nurse, 












2 


6 


22 


Helene St. Pierre, nurse, 












- 


2 


18 


Emily Stewart, nurse, . 












7 


_ 


2 


M. E. R. Thomas, nurse, 












- 


' 


13 


Caroline Truman, nurse, 












- 


i 


25 


Effie L. YVilkins, nurse, 












- 


i 


23 


Rose Duprey, nurse, 












3 


7 


5 


Mabel Tacy, nurse, 












2 


8 


16 


Mary Mullarky, nurse, 












- 


- 


21 


H. Mabel Skidmore, nurse, 












- 


- 


18 


Caroline E. Arthur, nurse, 












- 




17 


Constance Smythe, nurse, 












- 




12 


Alma Hart, nurse, 












- 


- 


10 


Myrtis L. Miller, nurse, 












- 


- 


24 


Thomas P. Clair, plumber, 










. 13 


7 


- 


Albert DeGrandpre, carpenter. 










6 


10 


- 


Wm. Lasalle, carpenter, 










_ 


10 


2 


Arthur W. Lee, painter, 










- 


6 


10 


Henry Maynard, carpenter, 










3 


5 


22 


M. L. Sornborger, plumber, 










8 


- 


6 


Roscoe Tobin, plumber, 










9 




28 



26 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Names. 


Years. 


Months. 


Days. 


W. M. Tower, carpenter, 


33 


10 




Orrin Blodgett, farmer, 












5 


4 


8 


James Denny, farmer, 












3 


1 


24 


Xavier Dion, farmer, . 












18 


5 


16 


Henry Drozdial, farmer, 












- 


8 


8 


Jake Drozdial, farmer, 












- 


8 


8 


Michael Drozdial, farmer, . 












2 


7 


10 


Thomas Drozdial, farmer, . 












7 


- 


- 


Frank Hurd, farmer, . 












2 


5 


10 


Fred Kemper, farmer, . 












- 


7 


- 


John Koske, farmer, . 












- 


6 


5 


Nicholas Kraznyak, gardener, 












3 


2 


3 


W. Lardek, farmer, 












- 


1 


20 


Frank Lesto, farmer, . 












- 


7 


11 


David Mercier, coachman, . 












34 


9 


13 


Rufus Miner, farmer, . 












1 


7 


- 


Charles Nutting, farmer, 












1 


2 


19 


Alfred Owen, gardener, 












2 


9 


12 


James Ruddy, farmer, . 












4 


1 


26 


Frank Sanborn, farmer, 












4 


6 


22 


Frank Smith, farmer, . 












- 


8 


10 


Steve Stepno, farmer, . 












1 


6 


7 


Walter Streeter, farmer, 












8 


3 


1 


Frame Suboskie, farmer, 


— 


2 


6 



1911.1 PUBLIC DOCUMENT — No. 21. 27 



FARM PRODUCTS. 



Apples, 107 barrels, $268 00 

Asparagus, 36 boxes, 126 00 

Beans, lima, improved, 89 bushels, . . . 142 40 

Beans, shell, 36£ bushels, 42 48 

Beans, wax string, 83| bushels, .... 66 80 

Beef, cow, 4,475 pounds, 268 50 

Beef, steer, 17,333 pounds, 1,733 30 

Beets, greens, 79 bushels, 27 65 

Beets, table, 138 bushels, 82 80 

Broom corn, 4,650 pounds, . . . .' 327 00 

Brussels sprouts, 17 quarts, 1 87 

Cabbage, 22 tons, ........ 550 00 

Carrots, 24 bushels, 18 00 

Cauliflower, 4 boxes, 5 00 

Celery, 330 boxes, 299 70 

Cherries, 442 quarts, ...... 44 20 

Chickens, broilers, 724 pounds, .... 195 48 

Chickens, fowl, 550 pounds, 82 50 

Cider, 775 gallons, 77 50 

Citron, 4,910 pounds, 49 10 

Corn fodder, 104 tons, 520 00 

Corn, green, 611 bushels, 611 00 

Corn, whole. 376 bushels, 282 00 

Cucumbers, 422 boxes, 316 50 

Cucumber pickles, 320 pecks, .... 96 00 

Currants, 432 quarts, 47 52 

Eggs, 2,051 dozen, 615 30 

Ensilage, 500 tons, 2,000 00 

Gooseberries, 90 quarts, 9 00 

Grapes, 400 pounds, 16 00 



Amount carried forward, .... $8,921 60 



28 NORTHAMPTON STATE HOSPITAL. [Dec. 

Amount brought forward, .... $8,921 60 

Hay, 370 tons, 7,770 00 

Ice, 765 tons, 2,295 00 

Lettuce, 112 boxes, 56 00 

Melons, musk, 322 crates, 363 50 

Melons, water, 1,092, 163 80 

Milk, 265,046 quarts, 15,902 76 

Onions, 90 bushels, 99 00 

Parsley, 2 bushels, 1 00 

Parsnips, 345 bushels, 258 75 

Pears, 30 bushels, 22 50 

Peas, green, 28 bushels, 56 00 

Peppers, 10 bushels, 7 50 

Pig, roast, 1, 1 00 

Plums, 64 baskets. 19 20 

Pork, 66,922 pounds, 6,022 98 

Potatoes, 2,185 bushels, 1,966 50 

Pumpkins, 2,310 pounds, 69 30 

Quinces, 1 bushel, 2 00 

Radishes, 683 dozen bunches, .... 204 90 

Raspberries, 66 quarts, 9 90 

Rhubarb, 5 tons, 200 00 

Rye straw, 6 tons, 144 00 

Rye, 87 bushels, 69 60 

Scullions, 6 bushels, 3 00 

Spinach, 208 bushels, 83 20 

Squash, summer, 30 barrels, .... 30 00 

Squash, winter, 50 tons, . . . . ■ . 1,750 00 

Strawberries, 1,594 quarts, 191 38 

Tomatoes, ripe, 268 bushels, .... 201 00 

Tomatoes, green, 26 bushels, . . . . 13 00 

Turnips, 167 barrels, 183 70 

Veal, 140 pounds, 15 40 

Wood, 108 cords, 540 00 

Total, $47,637 47 



Amount carried forward, $47,637 47 



1911.] PUBLIC DOCUMENT — No. 21. 29 

Amount brought forward, $47,637 47 

Sales : — 

Calves, $61 00 

Horses, 450 00 

Hides, 458 69 

Pigs, 566 50 

Sundries, 77 70 

Total, 1,613 89 

Total farm product, $49,251 36 

Live stock belonging to the hospital : — 

Bulls, 2, $400 00 

Calves, 17, 425 00 

Cows, 83, 6,640 00 

Fowls, 635, 635 00 

Heifers, 29, 1..040 00 

Hogs, 95, 2,506 00 

Horses, 14, 3,525 00 

Total, $16,371 00 



30 NORTHAMPTON STATE HOSPITAL. [Dec. 



VALUATION. 



Real Estate. 

Grounds and building sites, 23 acres, . . $4,861 20 

Woodland, 93 acres, 19,655 55 

Mowing, 110 acres, 23,248 50 

Pasturage, 185 acres, 39,099 75 

Tillage, 100 acres, 21,135 00 

Hospital building, 616,619 00 

Farmhouse, 1,500 00 

Brick house, 1,700 00 

Three dwellings, 5,500 00 

Cold storage, 30,000 00 

Two barns, 5,500 00 

Cow stable, 13,000 00 

Horse stable, 6,000 00 

Piggery, 3,000 00 

Lumber shed, 850 00 

Cart shed, 400 00 

Pump house, 400 00 

Ice house, 800 00 

Paint shop, 2,039 00 

Total real estate, $795,308 00 

Personal Estate. 

Provisions and groceries, $10,368 58 

Clothing and clothing material, .... 3,957 65 

Furnishings, 38,290 64 

Fuel, 6,578 68 

Machine^ and mechanical fixtures, . . . 21,138 37 

Live stock on farm, 16,371 00 

Produce of farm on hand, 13,334 90 

Carriages and agricultural implements, . . 3,905 04 

Miscellaneous, 3,928 44 

Unexpended balance of maintenance appro- 
priation, 15,526 40 



Amounts carried forward, .... $133,399 70 $795,308 00 



1911.] PUBLIC DOCUMENT — No. 21. 31 

Amounts brought forward, .... $133,399 70 $795,308 00 

Unexpended balance of special appropriation 

(non-revertible), 41,209 07 

Accounts receivable, 11,656 94 

Cash on hand: — 

Office, 896 55 

Bank, 824 77 

Patients' money, 1,781 98 

Endowments, etc., 703 24 

190,472 25 

Total personal estate, $985,780 25 



Accounts Payable. 

Maintenance, $14,618 24 

Trust funds: — 

Patients' money, $1,781 98 

Endowments, 703 24 

2,485 22 

Excess of resources over liabilities, 968,676 79 



1,780 25 
Statement of Funds. 



On hand, Nov. 30, 1910, $1,771 73 



Patients' Funds. 

Receipts, 1,490 21 

$3,261 94 

Refunded, 1,479 96 

Balance on hand Nov. 30, 1911, $1,781 98 

Fred B. Kelhj Fund. 

Balance Nov. 30, 1910, $677 61 

Income, 25 63 

Balance on hand Nov. 30, 1911, $703 24 



32 



NORTHAMPTON STATE HOSPITAL. 



[D 



ec. 



TREASURER'S REPORT. 



To the Trustees of the Northampton State Hospital. 

I respectfully submit the following report of the finances of this 
institution for the fiscal year ending Nov. 30, 1911: — 



Balance Dec. 1, 1910, 



Cash Account. 



$2,321 17 



Receipts 



Institution Receipts. 
Board of inmates : — 
Private, 
Reimbursements, insane, 



$32,961 52 
15,292 13 



Sales : — 




Food, .... 


$213 37 


Clothing and materials, 


193 07 


Furnishings, 


50 


Repairs and improvements, . 


45 


Miscellaneous, 


825 04 


Farm, stable and grounds: — 




Cows and calves, 


61 00 


Pigs and hogs, 


566 50 


Hides, .... 


458 69 


Sundries, .... 


527 70 


Miscellaneous receipts: — 




Interest on bank balances, 


$135 79 


Sundries, .... 


10 20 



Receipts from Treasury of Commonwealth. 
Maintenance appropriations : — 

Balance of 1910, 

Advance money (amount on hand November 

30), . 

Approved schedules of 1911, . 



Special appropriations, 
Total, . 



$48,253 65 



5,846 32 



145 



$7,807 97 

5,000 00 
164,473 60 



51,245 96 



177,281 57 

5,795 93 

$236,644 63 



1911. 



PUBLIC DOCUMENT — Xo. 21. 



33 



Payments. 
To treasury of Commonwealth, institution receipts, 
Maintenance appropriations: — 

Balance November schedule, 1910, 

Eleven months schedules, 1911, 

November advances, . 

Special appropriations : — 

Approved schedules, ..... 
Balance, Nov. 30, 1911: — 

In bank, ....... 

In office, ....... 



Total, 



Maintenance. 



Appropriation, . 

Expenses (as analyzed below), 





$51,245 96 


810,129 14 




164,473 60 




3,278 68 






177,881 42 






5,795 93 


$824 77 




896 55 






1,721 32 






$236,644 63 




§180,000 00 




179,091 84 



Balance reverting to treasury of Commonwealth, 



$908 16 



Analysis of Expenses. 



Salaries, wages and labor: — 
General administration. 
Medical service, . 
Ward service (male), . 
Ward service (female), 
Repairs and improvements, 
Farm, stable and grounds, 



Food: 



Butter, 

Butterine, . 

Beans, 

Bread and crackers, 

Cereals, rice, meal, etc. 

Cheese, 



Flour, 

Fish, . 

Fruit (dried and fresh) 

Meats, 

Molasses and syrup, 

Sugar, 

Tea, coffee, broma and 

Vegetables, 

Sundries, 



Clothing and materials: — 
Boots, shoes and rubbers, 
Clothing, 

Amounts carried forward, 



$17,384 44 


7,709 20 


13,883 42 


11,607 39 


6,641 34 


9,637 85 


ffifi qr° fij. 


CUU, OUO Ul 


$8,494 71 


298 92 


637 96 


572 69 


1,229 24 


288 78 


6,890 40 


4,499 55 


2,279 19 


3,661 00 


10,077 17 


418 61 


3,868 95 


1,873 84 


1,483 27 


2,042 86 


AS A1 7 14. 


4o,01 / 11 


$612 58 


2,193 28 



$2,805 86 $115,480 78 



34 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



Amounts brought forward, 



$2,805 86 $115,480 78 



Clothing and materials — Con. 

Dry goods for clothing and small wares : 

Furnishing goods, 

Hats and caps, .... 

Leather and shoe findings, 

Sundries, ..... 

Furnishings : — 

Beds, bedding, table linen, etc., 

Brushes, brooms, 

Carpets, rugs, etc., 

Crockery, glassware, cutlery, etc., 

Furniture and upholstery, 

Kitchen furnishings, 

Wooden ware, buckets, pails, etc., 

Sundries, ..... 



Heat, light and power 
Coal, 

Freight on coal, 
Wood, 
Electricity, 
Gas, . 
Oil, . 
Sundries, 



Repairs and improvements: 
Brick, 

Cement, lime and plaster, 
Electrical work and supplies, 
Hardware, . 
Lumber, 

Machinery, etc., . 
Paints, oil, glass, etc., . 
Plumbing, steam fitting and supplies, 
Sundries, ..... 



Farm, stable and grounds: — 
Blacksmith and supplies, 
Carriages, wagons, etc., and repairs 
Fertilizers, vines, seeds, etc 
Hay, grain, etc., . 
Harnesses and repairs, 
Horses, 
Cows, 

Other live stock 
Rent, 

Tools, farm machines, etc. 
Sundries, 

Miscellaneous : — 

Books, periodicals, etc., 

Chapel services and entertainments 

Amounts carried forward, 





1,730 63 




926 76 




129 50 




54 88 




23 77 








5,671 40 




$2,705 27 




149 27 




926 49 




543 52 




656 07 




117 20 




18 65 




249 84 








5,366 31 




$8,084 80 






4,033 03 






132 24 






35 98 






91 43 






176 55 






323 15 


12,877 18 




$380 10 






543 20 






797 31 






1,463 26 






1,982 43 






416 31 






2,207 19 






1,609 53 






1,977 09 


11,376 42 




$460 98 






442 75 






1,967 21 






8,076 39 






255 21 






650 00 






1,708 00 






1,064 70 






145 00 






832 58 






1,321 63 


16,924 45 




$154 08 






737 00 





$891 08 $167,696 54 



1911 



PUBLIC DOCUMENT — No. 21. 



35 



Amounts brought forward, 



$891 08 $167,696 54 



Miscellaneous — Con. 

Freight, expressage and transportation, 
Funeral expenses, 

Medicines and hospital supplies, . 
Medical attendance, nurses, etc. (extra) 
Postage, ..... 
Printing and printing supplies, 
Printing annual report, 
Return of runaways, . 
Soap and laundry supplies, . 
Stationery and office supplies, 
Travel and expenses (officials), 
Telephone and telegraph, 
Tobacco, ..... 

Water, 

Sundries, ..... 



Total expenses for maintenance, 



Special Appropriations. 

Balance Dec. 1, 1910, 

Appropriations for fiscal year, .... 

Total 

Expended during the year (see statement annexed). 
Reverting to treasury of Commonwealth, 



Balance Nov. 30, 1911, 



139 07 




38 00 




1,033 40 




918 50 




276 02 




154 39 




170 88 




82 67 




1,483 34 




290 16 




618 10 




174 00 




80 99 




4,324 57 




720 13 






11,395 30 






$179,091 84 




$86 84 




46,925 00 




847,011 84 


$5,795 93 




6 84 






5,802 77 






$41,209 07 



Resources and Liabilities. 
Resources. 

Cash on hand, $1,721 32 

November cash vouchers (paid from advance 

money), 3,278 68 

Due from treasury of Commonwealth account No- 
vember, 1911, schedule, 9,618 24 



Schedule of November bills, 



Liabilities. 



$14,618 24 
$14,618 24 



Per Capita. 
During the year the average number of inmates has beeD 889.12. 
Total cost for maintenance, $179,091 .84. 
Equal to a weekly per capita cost of $3.86. 
Receipts from sales, $2,846.32. 
Equal to a weekly per capita of $0.06 + . 
All other institution receipts, $48,399.64. 
Equal to a weekly per capita of $1.04 -h 



36 



NORTHAMPTON STATE HOSPITAL. [Dec. 1911 



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[Form prescribed by State Board of Insanity.] 



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40 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



1 
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898 
890 

8 

678 

98 

122 

1,240 

386 

360 

343 

271 

39 

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883.30 

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96.89 

123.61 

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15 
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449 
447 

2 

363 

44 

42 

631 

197 

186 

182 

150 

23 

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366.42 

38.73 

42.32 

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unity, 
m unity, 

rt, '. 


Patients remaining Sept. 30, 1911, . 
Viz.: regularly committed, .... 

emergency, 

voluntary, 

temporary care, 

supported as State patients, 

as private patients, . 

Number of different persons admitted, . 
Number of different persons admitted from comm 
Number of different persons dismissed, 
Number of different persons dismissed to the com 
Number of different persons recovered, 
Number of different persons capable of se!f-suppo 
Daily average number of patients, 
Viz.: State patients, 

reimbursing patients 

private patients, 

Whole number of emergency admissions, 
Whole number of voluntary admissions, 
Daily average number of voluntary patients, 
Whole number of temporary care patients, . 
Daily average number of temporary care patients 



1911. 



PUBLIC DOCUMENT — No. 21. 



41 



Insane received on First and Subsequent Commitments. 



NUMBER OF COMMITMENTS. 



Cases committed. 



Males. I Females. 



Total. 



First to this hospital, 
Second to this hospital, 
Third to this hospital, 
Fourth to this hospital, 
Fifth to this hospital, 
Sixth to this hospital, 

Total cases, 
Total persons, . 
Never before in any hospital for insane 



157 
17 

2 

1 
1 



178 
178 
148 



132 
24 



166 
166 
123 



289 
41 
10 

2 

1 
1 



344 
344 
271 



Nativity and Parentage of Insane Persons first admitted to Any 
Hospital. 















Males. 


Females. 


Totals. 


PLACES OF NATIVITY. 


73 

a 


a 




73 

a 


72 


E 

2 


73 

a 


B 


2 






A 


A 




A 


A 


.2 


J= 


A 






Sj 




sj 


<A 


o 










fa 


fa 


a 


fa 


fa 


a 


fa 


fa 


s 


Massachusetts, .... 6.5 


28 


26 


44 


23 


27 


109 


51 


53 


Other New England States, . 


16 


10 


13 


13 


12 


7 


29 


22 


20 


Other States 


7 


16 


12 


11 


7 


S 


18 


23 


20 


Total native, .... 


88 


54 


51 


68 


42 


42 


156 


96 


93 


Other countries: — 




















Austria 


4 


4 


4 


- 


- 


- 


4 


4 


4 


Canada, . 










13 


17 


19 


13 


13 


15 


26 


30 


34 


Cuba, 










- 


- 


- 


1 


1 


- 


1 


1 


- 


England, . 










5 


6 


6 


3 


6 


6 


8 


12 


12 


Finland, . 










1 


1 


1 


1 


1 


1 


2 


2 


2 


France, 










- 


1 


1 


- 


- 


- 


- 


1 


1 


Germany, 










9 


10 


10 


3 


5 


5 


12 


15 


15 


Greece, 










1 


1 


1 


- 


- 


- 


1 


1 


1 


Hungary, 










- 


1 


- 


1 


1 


1 


1 


2 


1 


Ireland, . 










14 


34 


34 


20 


36 


38 


34 


70 


72 


Italy, 










5 


6 


6 


- 


- 


- 


5 


6 


6 


Poland, . 










3 


3 


3 


4 


4 


4 


7 


7 


7 


Russia, 










3 


3 


3 


4 


4 


4 


7 


7 


7 


Scotland, . 










- 


_ 


1 


1 


4 


2 


1 


4 


3 


Sweden, . 










1 


1 


1 


2 


2 


2 


3 


3 


3 


Switzerland, 










1 


1 


1 


_ 


_ 


_ 


1 


1 


1 


Wales, 










- 


- 


- 


- 


1 


1 


- 


1 


1 


Total foreign, 


60 


89 


91 


53 


78 


79 


113 


167 


170 


Unknown, 










- 


5 


6 


2 


3 


2 


2 


8 


8 


Totals, 










148 


148 


148 


123 


123 


123 


271 


271 


271 



42 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



4. — Residence of Insane Persons admitted from the Community. 











First admitted 

to Any 

Hospital. 


All Other 
Admissions. 


Totals. 




CO 


co 

2 


.2 

O 
H 


o3 
"3 


co 

£ 

fa 


CO 

1 

5 


co 


CO 

e 


CO 

3 


Hampshire County, 
Hampden County, 
Franklin County, 
Berkshire County, 
Worcester County, 
Suffolk County, 








27 
68 
10 
40 
3 


21 

68 

8 

26 


48 

136 

18 

66 

3 


6 
11 
4 
9 


4 

23 
5 

9 

1 
1 


10 
34 

9 

18 

1 
1 


33 
79 
14 
49 
3 


25 
91 
13 
35 

1 
1 


58 
170 
27 
84 
4 


Totals, 
Unknown, 


148 


123 


271 


30 


43 


73 


178 


166 


344 


Totals, 
Cities and towns, 
Country districts, 


148 
115 
33 


123 
94 

29 


271 

209 
62 


30 
23 

7 


43 
33 
10 


73 
56 
17 


178 
138 
40 


166 

127 
39 


344 

265 

79 


Totals, 


148 


123 


271 


30 


43 


73 


178 


166 


344 



5. — Civil Condition of Insane Persons first admitted to Any Hospital. 





Males. 


Females. 


Totals. 


Unmarried, 


74 


41 


115 


Married, 


54 


56 


110 


Widowed, 


19 


23 


42 


Divorced, 


1 


3 


4 


Unknown 


- 


- 


- 


Totals, 


148 


123 


271 



1911.1 



PUBLIC DOCUMENT — Xo. 21. 



43 



6. — Occupation of Insane Persons first admitted to Any Hospital. 



Males. 


Armorer, ..... 1 


Merchants, . .2 


Baker, 






1 


Metal polisher, . 






1 


Bartender, 






1 


Mining engineer, 






1 


Blacksmiths, 






2 


Nurse, 






1 


Boiler maker, 






1 


Operatives, 






18 


Bookkeeper, 






1 


Organ builder, . 






1 


Bookbinder, 






1 


Painters, . 






6 


Brick maker, 






1 


Peddler, . 






1 


Carpenter, 






1 


Physicians, 






2 


Carriage manufacture: 






1 


Printers, . 






2 


Clerks, 






2 


Quarryman, 






1 


Contractor, 






1 


Railroad employees, 






2 


Cook, 






1 


Salesman, 






1 


Druggist, . 






1 


Shoemakers, 






2 


Electricians, 






3 


Slate roofer, 






1 


Elevator man, . 






1 


Soldier, . 






1 


Farmers, . 






8 


Stationary fireman, 






1 


Farm laborers, . 






15 


Students, . 






5 


Forger, 






1 


Tailors, 






6 


Gardener, . 






1 


Tanner, 






1 


Grocer, 






1 


Waiter, 






1 


Hack drivers, 






2 


Watchman, 






1 


Insurance agent, 






1 


Whipmaker, 






1 


Laborers, . 






25 


Wood worker, . 






1 


Lawyer, 






1 


No occupation, . 






8 


Machinists, 






3 





Masons, . 






2 


Total 148 


Fem 


A.LES. 


Bookkeeper, .... 1 


Music teacher, .... 1 


Candv sorter, 






1 


Nurses, 






2 


Clerks, 






3 


Operatives, 






14 


Cook, 






1 


Police matron, . 






1 


Domestics, 






24 


Stenographer, 






1 


Dressmaker, 






1 


No occupation, . 






12 


Housekeepers, . 






13 





Laundresses, 






2 


Total 77 


Wife 


OF — 


Armorer, ..... 1 


Manufacturer, . . 1 


Boiler maker, 








Mechanic, 








Carpenter, 








Operative, . 






8 


Clerk, 








Painter, 








Coachman, 








Plumber, . 








Elevator man, . 








Policeman, 








Expressman, 








Railroad employee, 








Farmer, 








Tailor, 








Ice merchant, 








Teamster, 








Laborer, . 











Machinist, 






3 


Total, .... 46 


Mail carrier, 






1 





44 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



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Congenital, 

15 years and lc 

From 15 to 20 

20 to 25 

25 to 30 

30 to 35 

35 to 40 

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50 to 60 

60 to 70 

70 to 80 

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PUBLIC DOCUMENT — No. 21. 



45 



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46 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



9. — Probable Duration of Mental Disease before Admission. 













First admitted to Any Hospital. 


PREVIOUS DURATION. 


Males. 


Females. 


Totals. 


Congenital, . 










26 


11 


37 


Under 1 month, . 










58 


7 


65 


From 1 to 3 months, 










12 


16 


28 


3 to 6 months, 










7 


16 


23 


6 to 12 months, 










13 


19 


32 


1 to 2 years, 










18 


20 


38 


2 to 5 years, 










12 


20 


32 


5 to 10 years, 










- 


4 


4 


10 to 20 years, 










2 


8 


10 


Over 20 years, 










- 


1 


1 


Totals, . 


148 


122 


270 


Unknown, 










- 


1 


1 


Totals, . 


148 


123 


271 


Average known duration (in years), 




.7 


.22 


.47 



PUBLIC DOCUMENT — No. 21. 



47 



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A. — First admitted to any hospital: — 

Acute alcoholic insanity 

Acute delirium, 

Chronic alcoholic insanity, .... 

Dementia precox 

Epilepsy 

Involution psychosis, ..... 
Manic-depressive insanity: — 

Depressed form, 

Maniacal form, 

Mixed form 

Mental deficiency, 

Organic brain disease, 

Organic dementia 

Paranoia, 

Paresis, 

Pellagra, [ 

Senile dementia, ..... 
Morphine habit, chronic, 


< 

"cl 



48 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



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B. — Other admissions: — 

Acute alcoholic insanity, 

Chronic alcoholic insanity, .... 

Dementia prjpcox, 

Epilepsy 

Involution psychosis 

Manic-depressive insanity: — 

Depressed form, 

Maniacal form, 

Mixed form, 

Organic dementia 

Paranoia, 

Paresis, 

Senile dementia, 

Morphine habit, chronic, 


Total B, 

Aggregate cases, 

Aggregate persons, 



PUBLIC DOCUMENT — No. 21. 



49 





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50 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



aS 
^ a 

p 


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1 1 1 1 1 1 1 1 1 1 III 1 1 1 1 1 1 III 1 1 1 <M 1 


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' 






General diseases: — 

Carcinoma of oesophagus, 

Carcinoma of face, 

Carcinoma of pancreas, 

Carcinoma of stomach, 

Exhaustion from acute mania, .... 

Gangrene of foot, 

Gangrene of scrotum, 

General tuberculosis 

Pellagra 

Senility, 

Diseases of the nervous system : — 

General paralysis of the insane, 

Organic brain disease, 

Septic meningitis 

Diseases of the circulatory system: — 

Arteriosclerosis, 

Cerebrrl embolism, 

Cerebral hemorrhage, 

Endocarditis, 

Diseases of the genito-urinary system: — 

Diseases of the digestive system: — 

Gastro-enteritis, 

Intestinal obstruction, 

Tubercular enteritis, 

Diseases of the respiratory system: — 

Broncho-pneumonia, 

Hypostatic pneumonia 

I/obar pneumonia, 

Pulmonary tuberculosis, 

Deglutition asphyxia, 





1911.] 



PUBLIC DOCUMENT — No. 21 



51 



4 

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' ' » ' ' ' ' ' ' » ' 


' 






General diseases: — 

Carcinoma of oesophagus, 

Carcinoma of face 

Carcinoma of pancreas, 

Carcinoma of stomach, 

Exhaustion from acute mania, .... 

Gangrene of foot, 

Gangrene of scrotum, 

( teneral tuberculosis 

Pellagra, 

Senility, 

Diseases of the nervous system : — 

General paralysis of the insane, 

Organic brain disease, 

Septic meningitis, 

Diseases of the circulatory system: — 

Arteriosclerosis, 

Cerebral embolism, ...... 

Cerebral hemorrhage, 

Endocarditis, 

Diseases of the genito-urinary system: — 

Diseases of the digestive system : — 

Gastro-enleritis, 

Intestinal obstruction, 

Tubercular enteritis, 

Diseases of the respiratory system: — 

Broncho-pneumonia, 

Hypostatic pneumonia, 

Pulmonary tuberculosis, 

Deglutition asphyxia, 


CD 

o 

H 



52 



NORTHAMPTON STATE HOSPITAL. 



[Dec. 



■a 



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A. — Recoveries: — 

Under 1 month, . 
From 1 to 3 months, 
3 to 6 months, 
6 to 12 months, 

1 to 2 years, 

2 to 5 years, 
5 to 10 years, 

10 to 20 years, 
Over 20 years, 


Totals, . 
Unknown, 

Totals, . 

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1911, 



PUBLIC DOCUMENT — No. 21 



53 



















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